| Título: | The implementation of a mobile problem specific electronic CEX for assessing directly observed student-patient encounters |
| Autores: |
Ferenchick, Gary S.; Michigan State University Foreback, Jami; McLaren Regional Medical Center Towfiq, Basim; Hurley Medical Center Kavanaugh, Kevin; Kalamazoo Center for Medical Studies Solomon, David; Michigan State University Mohmand, Asad; Michigan State University |
| Fecha: | 2010-01-15 |
| Publicador: | Medical Education Online |
| Fuente: |
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| Tipo: | |
| Tema: | Students, Medical; Clinical Competence/standards; Observation; Quality Assurance, Health Care; Computers, Handheld; Clinical Clerkship; Internal Medicine |
| Descripción: | 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. Keywords: students; medical; clinical competence; observation; computers; handheld; clinical clerkship; internal medicine (Published: 29 January 2010) Citation: Medical Education Online 2010, 15: 4276 - DOI: 10.3402/meo.v15i0.4276 |
| Idioma: | Inglés |