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Tıp Eğitiminde Klinik Yeterliliğin Değerlendirilmesi

Yıl 2017, Cilt: 7 Sayı: 1, 39 - 45, 01.04.2017

Öz

Geleneksel tıp eğitiminde yoğun kavramsal bilginin öğretilmesine odaklanılmış olmasına rağmen günümüzde tıp fakülteleri mükemmel ve tam donanımlı doktorlar yetiştirmek için gerekli olan klinik beceri ve tutumların öğretilmesi konusunda giderek daha fazla dikkat göstermektedir. Tıp programları öğrencilerinin öğrenme düzeylerindeki ilerlemeyi sınavlarla değerlendirmek zorundadırlar. Bu bağlamda klinik beceriler ya da profesyonel davranışları değerlendirmek için farklı türlerde sınavları içeren geniş bir sınav yelpazesine ihtiyaç vardır. Klinik becerilerin ve tutumların nasıl geçerli ve güvenilir bir şekilde değerlendirileceğine yönelik arayışlar uzun süredir devam etmektedir. Bu makalede tıp eğitiminde klinik beceri ve tutum alanındaki yeterliliklerin ölçülmesinde kullanılabilecek farklı sınav yöntemleri tanıtılmaktadır.

Kaynakça

  • ABIM (2016). Mini-CEX. Examples of clinical skills evaluated. 31 Ağustos 2016 tarihinde <http://www.abim.org/program-directors-administra- tors/assessment-tools/mini-cex.aspx > adresinden erişildi.
  • Anderson, M., Cohen, J., Hallock, J., Kassebaum, D., Turnbull, J., and Whitcomb, M. (1999). Learning objectives for medical student educa- tion – Guidelines for medical schools: Report I of the Medical School Objectives Project. Academic Medicine, 74(1), 13–18.
  • Archer, J., Lynn, N., Coombes, L., Roberts, M., Gale, T., and Regan de Bere, S. (2016). The medical licensing examination debate. Regulation & Governance. doi:10.1111/rego.12118
  • Barrows, H. S. (1993). An overview of the uses of standardized patients for teaching and evaluating clinical skills. AAMC. Academic Medicine, 68(6), 443–451.
  • Batalden, P., Leach, D., Swing, S., Dreyfus, H., and Dreyfus, S. (2002). General competencies and accreditation in graduate medical education. Health Affairs, 21(5), 103–111.
  • Birden, H., Glass, N., Wilson, I., Harrison, M., Usherwood, T., and Nass, D. (2013). Teaching professionalism in medical education: A Best Evidence Medical Education (BEME) systematic review. BEME Guide No. 25. Medical Teacher, 35(7), e1252–e1266.
  • Casey, P. M., Goepfert, A. R., Espey, E. L., Hammoud, M. M., Kaczmarczyk, J. M., Katz, N. T., and Peskin, E.; Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee. (2009). To the point: reviews in medical educa- tion – The Objective Structured Clinical Examination. American Journal of Obstetrics and Gynecology, 200(1), 25–34.
  • CanMEDS (2015). Physician competency framework. 31 Ağustos 2016 tari- hinde <http://canmeds.royalcollege.ca/en/framework> adresinden eri- şildi.
  • Cruess, S. R., and Cruess, R. L. (1997). Professionalism must be taught. British Medical Journal, 315(7123), 1674–1677.
  • Cruess, R., Mcllroy JH, Cruess S., Ginsburg S., Steinert Y. (2006). The professionalism mini-evaluation exercise: a preliminary investigation. Academic Medicine 81(10): S74-S78.
  • David, M. F. B., Davis, M., Harden, R., Howie, P., Ker, J., and Pippard, M. (2001). AMEE Medical Education Guide No. 24: Portfolios as a method of student assessment. Medical Teacher, 23(6), 535–551.
  • Davies, H., Khera, N., and Stroobant, J. (2005). Portfolios, appraisal, reval- idation, and all that: A user’s guide for consultants. Archives of Disease in Childhood, 90(2), 165–170.
  • Davis, M., Ben-David, M. F., Harden, R., Howie, P., Ker, J., McGhee, C., and Snadden, D. (2001). Portfolio assessment in medical students' final examinations. Medical Teacher, 23(4), 357–366.
  • Durning, S. J., Cation, L. J., Markert, R. J., and Pangaro, L. N. (2002). Assessing the reliability and validity of the mini-clinical evaluation exer- cise for internal medicine residency training. Academic Medicine, 77(9), 900–904.
  • Elçin, M., Odabaşı, O. ve Sayek, İ. (2005). Yapılandırılmış objektif klinik sınavlar. Hacettepe Tıp Dergisi, 36, 1–2.
  • Epstein, R. M. (2007). Assessment in medical education. New England Journal of Medicine, 356(4), 387–396.
  • Frank, J. R., and Danoff, D. (2007). The CanMEDS initiative: implement- ing an outcomes-based framework of physician competencies. Medical Teacher, 29(7), 642–647.
  • Harden, R. M., and Gleeson, F. (1979). Assessment of clinical competence using an objective structured clinical examination (OSCE). Medical Education, 13(1), 39–54.
  • Harden, R. (1988). What is an OSCE? Medical Teacher, 10(1), 19–22.
  • Harden, R. M. (1999). AMEE Guide No. 14: Outcome-based education: Part 1 – An introduction to outcome-based education. Medical Teacher, 21(1), 7–14.
  • Harden, R. M., Lilley, P., and Patricio, M. (2015). The definitive guide to the OSCE: The Objective Structured Clinical Examination as a performance assessment. New York, NY: Churchill Livingstone Elsevier.
  • Harden, R. M. (2016). Revisiting ‘Assessment of clinical competence using an objective structured clinical examination (OSCE)’. Medical Education, 50(4), 376–379.
  • Harden, R. M., and Laidlaw, J. M. (2016). Essential skills for a medical teacher. An introduction to teaching and learning in medicine (2nd ed.). New York, NY: Churchill Livingstone Elsevier.
  • McAleer, S., and Walker, R. (1990). Objective structured clinical examina- tion (OSCE). Occasional Paper (Royal College of General Practitioners), 46, 39–42.
  • Miller, G. E. (1990). The assessment of clinical skills/competence/per- formance. Academic Medicine, 65(9 Suppl), S63–7.
  • Miller, M. D., Linn, R. L., and Gronlund, N. E. (2013). Measurement and assessment in teaching (11th ed.). Upper Saddle River, NJ: Pearson Higher Ed.
  • Newble, D. (2004). Techniques for measuring clinical competence: objec- tive structured clinical examinations. Medical Education, 38(2), 199–203.
  • Norcini, J. J., and McKinley, D. W. (2007). Assessment methods in med- ical education. Teaching and Teacher Education, 23(3), 239–250.
  • Schwartz, A. (2011). Assessment in graduate medical education: A primer for pediatric program directors. Chapel Hill, NC: American Board of Pediatrics.
  • Spady, W. G. (1988). Organizing for results: The basis of authentic restruc- turing and reform. Educational Leadership, 46(2), 4–8.
  • Tıp Dekanları Konseyi. (2014). Mezuniyet öncesi tıp eğitimi ulusal çekirdek eğitim programı. 30 Ocak 2017 tarihinde <http://istanbultip.istanbul.edu. tr/ulusal-cekirdek-egitim-programi-2014> adresinden erişildi.
  • UTEAK (2015). UTEAK Özdeğerlendirme raporu hazırlama kılavuzu. 30 Ocak 2017 tarihinde <http://www.uteak.org.tr/uploads/belge/ OZDEGERLENDIRME_RAPORU_HAZIRLAMA_KILAVUZU 2014.pdf> adresinden erişildi.
  • Westwood, O. M., Griffin, A., and Hay, F. C. (2013). How to assess students and trainees in medicine and health. Hoboken, NJ: Wiley-Blackwell.
  • Wilkinson, T., Challis, M., Hobma, S., Newble, D., Parboosingh, J., Sibbald, R., and Wakeford, R. (2002). The use of portfolios for assess- ment of the competence and performance of doctors in practice. Medical Education, 36(10), 918–924.
  • YÖK (2011). Türkiye Yükseköğretim Yeterlilikler Çerçevesi. 30 Ocak 2017 tar- ihinde <http://tyyc.yok.gov.tr/> adresinden erişildi.
  • Zabar, S., Kachur, E., Kalet, A., and Hanley, K. (2012). Objective structured clinical examinations. 10 steps to planning and implementing OSCEs and other standardized patient exercises. New York, NY: Springer.

Assessment of clinical competence in medical education

Yıl 2017, Cilt: 7 Sayı: 1, 39 - 45, 01.04.2017

Öz

Although traditionally the main focus of medical education is to teach intensive conceptual knowledge, medical schools increasingly pay attention to the conveyance of clinical skills and attitudes that are required to become an excellent and complete physicians. Medical programs are obliged to assess the learning progress of their medical students with exams. Clinical skills or professional attitudes need wide range of different types of exams to be assessed. The search for a valid and reliable assessment of clinical skills and attitudes continues for a long time. In this article, different test methods designed to measure competency in clinical skills and attitudes in medical education are introduced.

Kaynakça

  • ABIM (2016). Mini-CEX. Examples of clinical skills evaluated. 31 Ağustos 2016 tarihinde <http://www.abim.org/program-directors-administra- tors/assessment-tools/mini-cex.aspx > adresinden erişildi.
  • Anderson, M., Cohen, J., Hallock, J., Kassebaum, D., Turnbull, J., and Whitcomb, M. (1999). Learning objectives for medical student educa- tion – Guidelines for medical schools: Report I of the Medical School Objectives Project. Academic Medicine, 74(1), 13–18.
  • Archer, J., Lynn, N., Coombes, L., Roberts, M., Gale, T., and Regan de Bere, S. (2016). The medical licensing examination debate. Regulation & Governance. doi:10.1111/rego.12118
  • Barrows, H. S. (1993). An overview of the uses of standardized patients for teaching and evaluating clinical skills. AAMC. Academic Medicine, 68(6), 443–451.
  • Batalden, P., Leach, D., Swing, S., Dreyfus, H., and Dreyfus, S. (2002). General competencies and accreditation in graduate medical education. Health Affairs, 21(5), 103–111.
  • Birden, H., Glass, N., Wilson, I., Harrison, M., Usherwood, T., and Nass, D. (2013). Teaching professionalism in medical education: A Best Evidence Medical Education (BEME) systematic review. BEME Guide No. 25. Medical Teacher, 35(7), e1252–e1266.
  • Casey, P. M., Goepfert, A. R., Espey, E. L., Hammoud, M. M., Kaczmarczyk, J. M., Katz, N. T., and Peskin, E.; Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee. (2009). To the point: reviews in medical educa- tion – The Objective Structured Clinical Examination. American Journal of Obstetrics and Gynecology, 200(1), 25–34.
  • CanMEDS (2015). Physician competency framework. 31 Ağustos 2016 tari- hinde <http://canmeds.royalcollege.ca/en/framework> adresinden eri- şildi.
  • Cruess, S. R., and Cruess, R. L. (1997). Professionalism must be taught. British Medical Journal, 315(7123), 1674–1677.
  • Cruess, R., Mcllroy JH, Cruess S., Ginsburg S., Steinert Y. (2006). The professionalism mini-evaluation exercise: a preliminary investigation. Academic Medicine 81(10): S74-S78.
  • David, M. F. B., Davis, M., Harden, R., Howie, P., Ker, J., and Pippard, M. (2001). AMEE Medical Education Guide No. 24: Portfolios as a method of student assessment. Medical Teacher, 23(6), 535–551.
  • Davies, H., Khera, N., and Stroobant, J. (2005). Portfolios, appraisal, reval- idation, and all that: A user’s guide for consultants. Archives of Disease in Childhood, 90(2), 165–170.
  • Davis, M., Ben-David, M. F., Harden, R., Howie, P., Ker, J., McGhee, C., and Snadden, D. (2001). Portfolio assessment in medical students' final examinations. Medical Teacher, 23(4), 357–366.
  • Durning, S. J., Cation, L. J., Markert, R. J., and Pangaro, L. N. (2002). Assessing the reliability and validity of the mini-clinical evaluation exer- cise for internal medicine residency training. Academic Medicine, 77(9), 900–904.
  • Elçin, M., Odabaşı, O. ve Sayek, İ. (2005). Yapılandırılmış objektif klinik sınavlar. Hacettepe Tıp Dergisi, 36, 1–2.
  • Epstein, R. M. (2007). Assessment in medical education. New England Journal of Medicine, 356(4), 387–396.
  • Frank, J. R., and Danoff, D. (2007). The CanMEDS initiative: implement- ing an outcomes-based framework of physician competencies. Medical Teacher, 29(7), 642–647.
  • Harden, R. M., and Gleeson, F. (1979). Assessment of clinical competence using an objective structured clinical examination (OSCE). Medical Education, 13(1), 39–54.
  • Harden, R. (1988). What is an OSCE? Medical Teacher, 10(1), 19–22.
  • Harden, R. M. (1999). AMEE Guide No. 14: Outcome-based education: Part 1 – An introduction to outcome-based education. Medical Teacher, 21(1), 7–14.
  • Harden, R. M., Lilley, P., and Patricio, M. (2015). The definitive guide to the OSCE: The Objective Structured Clinical Examination as a performance assessment. New York, NY: Churchill Livingstone Elsevier.
  • Harden, R. M. (2016). Revisiting ‘Assessment of clinical competence using an objective structured clinical examination (OSCE)’. Medical Education, 50(4), 376–379.
  • Harden, R. M., and Laidlaw, J. M. (2016). Essential skills for a medical teacher. An introduction to teaching and learning in medicine (2nd ed.). New York, NY: Churchill Livingstone Elsevier.
  • McAleer, S., and Walker, R. (1990). Objective structured clinical examina- tion (OSCE). Occasional Paper (Royal College of General Practitioners), 46, 39–42.
  • Miller, G. E. (1990). The assessment of clinical skills/competence/per- formance. Academic Medicine, 65(9 Suppl), S63–7.
  • Miller, M. D., Linn, R. L., and Gronlund, N. E. (2013). Measurement and assessment in teaching (11th ed.). Upper Saddle River, NJ: Pearson Higher Ed.
  • Newble, D. (2004). Techniques for measuring clinical competence: objec- tive structured clinical examinations. Medical Education, 38(2), 199–203.
  • Norcini, J. J., and McKinley, D. W. (2007). Assessment methods in med- ical education. Teaching and Teacher Education, 23(3), 239–250.
  • Schwartz, A. (2011). Assessment in graduate medical education: A primer for pediatric program directors. Chapel Hill, NC: American Board of Pediatrics.
  • Spady, W. G. (1988). Organizing for results: The basis of authentic restruc- turing and reform. Educational Leadership, 46(2), 4–8.
  • Tıp Dekanları Konseyi. (2014). Mezuniyet öncesi tıp eğitimi ulusal çekirdek eğitim programı. 30 Ocak 2017 tarihinde <http://istanbultip.istanbul.edu. tr/ulusal-cekirdek-egitim-programi-2014> adresinden erişildi.
  • UTEAK (2015). UTEAK Özdeğerlendirme raporu hazırlama kılavuzu. 30 Ocak 2017 tarihinde <http://www.uteak.org.tr/uploads/belge/ OZDEGERLENDIRME_RAPORU_HAZIRLAMA_KILAVUZU 2014.pdf> adresinden erişildi.
  • Westwood, O. M., Griffin, A., and Hay, F. C. (2013). How to assess students and trainees in medicine and health. Hoboken, NJ: Wiley-Blackwell.
  • Wilkinson, T., Challis, M., Hobma, S., Newble, D., Parboosingh, J., Sibbald, R., and Wakeford, R. (2002). The use of portfolios for assess- ment of the competence and performance of doctors in practice. Medical Education, 36(10), 918–924.
  • YÖK (2011). Türkiye Yükseköğretim Yeterlilikler Çerçevesi. 30 Ocak 2017 tar- ihinde <http://tyyc.yok.gov.tr/> adresinden erişildi.
  • Zabar, S., Kachur, E., Kalet, A., and Hanley, K. (2012). Objective structured clinical examinations. 10 steps to planning and implementing OSCEs and other standardized patient exercises. New York, NY: Springer.
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA22HJ22ME
Bölüm Ampirik Araştırma
Yazarlar

Özlem Serpil Çakmakkaya Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 7 Sayı: 1

Kaynak Göster

APA Çakmakkaya, Ö. S. (2017). Tıp Eğitiminde Klinik Yeterliliğin Değerlendirilmesi. Yükseköğretim Dergisi, 7(1), 39-45.

Yükseköğretim Dergisi, bünyesinde yayınlanan yazıların fikirlerine resmen katılmaz, basılı ve çevrimiçi sürümlerinde yayınladığı hiçbir ürün veya servis reklamı için güvence vermez. Yayınlanan yazıların bilimsel ve yasal sorumlulukları yazarlarına aittir. Yazılarla birlikte gönderilen resim, şekil, tablo vb. unsurların özgün olması ya da daha önce yayınlanmış iseler derginin hem basılı hem de elektronik sürümünde yayınlanabilmesi için telif hakkı sahibinin yazılı onayının bulunması gerekir. Yazarlar yazılarının bütün yayın haklarını derginin yayıncısı Türkiye Bilimler Akademisi'ne (TÜBA) devrettiklerini kabul ederler. Yayınlanan içeriğin (yazı ve görsel unsurlar) telif hakları dergiye ait olur. Dergide yayınlanması uygun görülen yazılar için telif ya da başka adlar altında hiçbir ücret ödenmez ve baskı masrafı alınmaz; ancak ayrı baskı talepleri ücret karşılığı yerine getirilir.

TÜBA, yazarlardan devraldığı ve derginin çevrimiçi (online) sürümünde yayımladığı içerikle ilgili telif haklarından, bilimsel içeriğe evrensel açık erişimin (open access) desteklenmesi ve geliştirilmesine katkıda bulunmak amacıyla, bilinen standartlarda kaynak olarak gösterilmesi koşuluyla, ticari kullanım amacı ve içerik değişikliği dışında kalan tüm kullanım (çevrimiçi bağlantı verme, kopyalama, baskı alma, herhangi bir fiziksel ortamda çoğaltma ve dağıtma vb.) haklarını (ilgili içerikte tersi belirtilmediği sürece) Creative Commons Attribution-NonCommercial-NoDerivs 4.0 Unported (CC BY-NC-ND4.0) Lisansı aracılığıyla bedelsiz kullanıma sunmaktadır. İçeriğin ticari amaçlı kullanımı için TÜBA'dan yazılı izin alınması gereklidir.