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Use of an objective structured clinical exam (OSCE) for early identification of communication skills deficits in interns

机译：使用客观结构化的临床检查（欧安组织），以便早期确定实习生沟通技能赤字

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Introduction: There is limited information about whether OSCE during GME orientation can identify trainee communication deficits before these become evident via clinical performance evaluations.Methods: Ninety-seven interns matriculating to eight residency programs in six specialties at four hospitals participated in a nine-station communication skills OSCE. Ratings were based on the Kalamazoo, adapted communication skills checklist. Possible association with intern performance evaluations was assessed by repeated-measures logistic regression and ROC curves were generated.Results: The mean OSCE score was 4.080.27 with a range of 3.3-4.6. Baseline OSCE scores were associated with subsequent communication concerns recorded by faculty, based on 1591 evaluations. A 0.1-unit decrease in the OSCE communication score was associated with an 18% higher odds of being identified with a communication concern by faculty evaluation (odds ratio 1.18, 95% CI 1.01-1.36, p=0.034). ROC curves did not demonstrate a cut-off score (AUC=0.558). Non-faculty evaluators were 3-5 times more likely than faculty evaluators to identify communication deficits, based on 1900 evaluations.Conclusions: Lower OSCE performance was associated with faculty communication concerns on performance evaluations; however, a cut-off score was not demonstrated that could identify trainees for potential early intervention. Multi-source evaluation also identified trainees with communication skills deficits.
机译：介绍：在通过临床表现评估之前，有关欧安组织期间欧安组织的信息有限的信息可以识别实习生沟通赤字。六十七名专科学校，六个专业六所专业六个专业参加了九个站沟通技能欧安组织。评级基于卡拉马祖，适应了沟通技能清单。通过重复测量的逻辑回归评估与实习性性能评估的可能关联，并生成了ROC曲线。结果：平均欧安组织评分为4.080.27，范围为3.3-4.6。基于1591年的评估，基线欧索斯分数与教师记录的后续通信问题有关。 OSCE通信评分的0.1单位减少与教师评估的通信关注（差距1.18,95％CI 1.01-1.36，P = 0.034），核心互联通信评分减少了18％。 ROC曲线没有证明截止得分（AUC = 0.558）。非教师评估员的可能性比教师评估者更容易识别沟通赤字，以识别沟通赤字，基于1900年的评估。结论：降低欧安组织绩效与绩效评估的教师沟通问题有关;然而，不证明截止得分可以识别潜在早期干预的学员。多源评估还确定了具有沟通技能赤字的学员。

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