文章基本信息

标题：The implementation of a mobile problem-specific electronic CEX for assessing directly observed student–patient encounters
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作者：Gary S. Ferenchick ; Jami Foreback ; Basim Towfiq 等
期刊名称：Medical Education Online
电子版ISSN：1087-2981
出版年度：2010
卷号：15
期号：1
页码：1-9
DOI：10.3402/meo.v15i0.4276
摘要：Background: Facilitating direct observation of medical students’ clinical competencies is a pressing need. Methods: We developed an electronic problem-specific Clinical Evaluation Exercise (eCEX) based on a national curriculum. We assessed its feasibility in monitoring and recording students’ competencies and the impact of a grading incentive on the frequency of direct observations in an internal medicine clerkship. Students (n=56) at three clinical sites used the eCEX and comparison students (n=56) at three other clinical sites did not. Students in the eCEX group were required to arrange 10 evaluations with faculty preceptors. Students in the second group were required to document a single, faculty observed ‘Full History and Physical’ encounter with a patient. Students and preceptors were surveyed at the end of each rotation. Results: eCEX increased students’ and evaluators’ understanding of direct-observation objectives and had a positive impact on the evaluators’ ability to provide feedback and assessments. The grading incentive increased the number of times a student reported direct observation by a resident preceptor. Conclusions: eCEX appears to be an effective means of enhancing student evaluation.
关键词：students ; medical ; clinical competence ; observation ; computers ; handheld ; clinical clerkship ; internal medicine