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General and Professional Education
3/2016 pp. 44-49

Przełomowy egzamin typu OSCE w Collegium Medicum Uniwersytetu Jagiellońskiego. Wpływ profilu oddziału klinicznego na wyniki egzaminu z interpretacji sercowych i płucnych zjawisk osłuchowych

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Has the profile of the clinical department, where students are teaching an internal medicine, an impact on the OSCE results? The study analyzed the results of OSCE examination (2015), which was used to assess the clinical skills of medical students. 225 students were evaluated. Students were divided into 7 groups depending on the clinical department, where they practiced internal medicine. OSCE consisted of 10 stations (3 medical interview, 7 practical skills, 2 of them included cardiac and respiratory sounds). For statistical analysis we used Statistica 12.0, t-student, Spearman's rank and Pearson Chi^2 tests were performed. Results are presented as number and percentage, a relationship between the clinical department, where student practiced and the results of OSCE was checked by Pearson Chi^2. The correlation between the results of station with simulator was evaluated by Spearman's rank, p<0,05 was considered significant. 96% of students passed OSCE. The auscultation skills were the most difficult stations. 17% of students failed heart sounds station and 21% failed lung auscultation. 100% cardiac and respiratory sounds recognized only 14% of students. Individuals who better recognized cardiac sounds, also significantly (p <0.0001) better recognized lung sounds (rsp=0,34). There were significant differences between auscultation skills: cardiac (chi^2 Pearson, p=0.0003) and pulmonary (p=0.0039), depending on the clinical department, where students were taught internal medicine. There were no correlation between speciality in cardiology of the clinical department, where students trained and students’ auscultation skills. There is a significant correlation between the place of clinical department, where students practice and their basic clinical skills, which may be related to the engagement of the teachers.

Key words

OSCE, assessment of clinical skills, heart sounds, pulmonary murmurs


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