Objective structured clinical examination (OSCE) to assess physical therapy students' clinical skills when using physical agents.
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| Title: | Objective structured clinical examination (OSCE) to assess physical therapy students' clinical skills when using physical agents. |
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| Alternate Title: | Evaluación clínica objetiva estructurada (ECOE) para evaluar las habilidades clínicas de los estudiantes de fisioterapia al utilizar agentes físicos. |
| Authors: | de la Barra Ortiz, Hernán Andrés1 handresdelabarra@yahoo.es, Gómez Miranda, Luis Adrián1, de la Fuente Astroza, Juan Ignacio1 |
| Source: | Revista Facultad de Medicina de la Universidad Nacional de Colombia. jul-sep2021, Vol. 69 Issue 3, p116-146. 31p. |
| Subjects: | CLINICAL competence, PHYSICAL therapy, MANN Whitney U Test, STUDENT health services, SIMULATED patients, MEDICAL logic |
| Geographic Terms: | SANTIAGO (Chile) |
| Abstract (English): | Introduction: The use of Physical Agents (PA) in the practice of physical therapy (PT) specialty requires clinical reasoning and knowing their risks and contraindications; however, sometimes deficiencies are observed when used in clinical practice. Objective: To implement the Objective Structured Clinical Evaluation (OSCE) methodology for the assessment of clinical skills in physical therapy specialty students when using PA. Materials and methods: A pilot non-experimental cross-sectional study was conducted in 114 physical therapy students enrolled during the first semester of 2019 in a PA course offered at the Universidad Andres Bello, Santiago, Chile. The OSCE consisted of seven peer-validated stations in which various skills were implemented in simulated clinical scenarios to achieve learning outcomes associated with the use of PA, namely: S1: Connective tissue flexibility; S2:Muscle relaxation; S3:Analgesia; S4:Drainage; S5:Strengthening; S6:Parameters interpretation, and S7:Equipment installation. Observers at each station assessed students' clinical skills and decision-making using a checklist. OSCE scores were described using medians and interquartile ranges, representing the data dispersion between the 25th and 75th percentile (P25-P75). Stations scores by gender were compared using the Mann-Whitney U test. Results: Median scores were higher than the minimum passing score in stations S1 (66, IQR: 52-70), S2 (55, IQR: 45-60), S3 (60, IQR: 50-69), S4 (65, IQR: 55-73), and S7 (40, IQR: 33-45), but they were below the passing score in stations S5 (54, IQR:46-65) and S6 (10, IQR: 9-13). In addition, 101 (88.59%) students had a global passing score in the OSCE. Conclusion: The OSCE scores obtained by the participants show their attainment of clinical skills when using PA, since most of them obtained a global passing score; however, reinforcing the parameters interpretation clinical skills is necessary, since the lowest mean score was obtained in said station. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción. El uso de agentes físicos (AF) en el ejercicio de la fisioterapia requiere razonamiento clínico y saber sus riesgos y contraindicaciones, aunque en ocasiones se observan deficiencias al utilizarlos en la práctica clínica. Objetivo. Implementar la metodología de Evaluación Clínica Objetiva Estructurada (ECOE) para la evaluación de habilidades clínicas en estudiantes de fisioterapia al aplicar AF. Materiales y métodos. Se realizó un estudio piloto transversal no experimental en 114 estudiantes de fisioterapia inscritos en el primer semestre de 2019 en la asignatura de AF en la Universidad Andres Bello, Santiago, Chile. La ECOE consistió de siete estaciones validadas por pares en las que se implementaron diversas habilidades en escenarios clínicos simulados para lograr resultados de aprendizaje asociados al uso de AF, a saber: E1:Flexibilidad tejido conectivo, E2:Relajación muscular, E3:Analgesia, E4:Drenaje, E5:Fortalecimiento, E6:Interpretación de parámetros, y E7:Instalación de equipo. En cada estación, las habilidades clínicas y toma de decisiones fueron evaluadas por observadores usando listas de verificación. Las puntuaciones en la ECOE se describieron usando medianas y rangos intercuartiles, representado la dispersión de los datos entre el percentil 25 y 75 (P25-P75). Los puntajes en cada estación fueron comparados por género mediante la prueba de U de Mann-Whitney. Resultados. Las medianas de puntaje fueron superiores al puntaje aprobatorio en las estaciones E1 (66, RIC:52-70), E2 (55, RIC:45-60), E3 (60, RIC:50-69), E4 (65, RIC:55-73) y E7(40, RIC:33-45), pero inferiores en las estaciones E5 (54, RIC:46-65) y E6 (10,RIC:9-13). Además, 101 estudiantes (88.59%) obtuvieron un puntaje aprobatorio global en la ECOE. Conclusión. Los puntajes obtenidos en la ECOE por los participantes demuestran el logro de habilidades clínicas al utilizar AF, pues la mayoría obtuvo una nota aprobatoria global. No obstante, se requiere reforzar las habilidades clínicas de interpretación de parámetros, estación en la que se obtuvo la media de puntaje más baja. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
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| Items | – Name: Title Label: Title Group: Ti Data: Objective structured clinical examination (OSCE) to assess physical therapy students' clinical skills when using physical agents. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Evaluación clínica objetiva estructurada (ECOE) para evaluar las habilidades clínicas de los estudiantes de fisioterapia al utilizar agentes físicos. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22de+la+Barra+Ortiz%2C+Hernán+Andrés%22">de la Barra Ortiz, Hernán Andrés</searchLink><relatesTo>1</relatesTo><i> handresdelabarra@yahoo.es</i><br /><searchLink fieldCode="AR" term="%22Gómez+Miranda%2C+Luis+Adrián%22">Gómez Miranda, Luis Adrián</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22de+la+Fuente+Astroza%2C+Juan+Ignacio%22">de la Fuente Astroza, Juan Ignacio</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Facultad+de+Medicina+de+la+Universidad+Nacional+de+Colombia%22">Revista Facultad de Medicina de la Universidad Nacional de Colombia</searchLink>. jul-sep2021, Vol. 69 Issue 3, p116-146. 31p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CLINICAL+competence%22">CLINICAL competence</searchLink><br /><searchLink fieldCode="DE" term="%22PHYSICAL+therapy%22">PHYSICAL therapy</searchLink><br /><searchLink fieldCode="DE" term="%22MANN+Whitney+U+Test%22">MANN Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22STUDENT+health+services%22">STUDENT health services</searchLink><br /><searchLink fieldCode="DE" term="%22SIMULATED+patients%22">SIMULATED patients</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+logic%22">MEDICAL logic</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22SANTIAGO+%28Chile%29%22">SANTIAGO (Chile)</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: The use of Physical Agents (PA) in the practice of physical therapy (PT) specialty requires clinical reasoning and knowing their risks and contraindications; however, sometimes deficiencies are observed when used in clinical practice. Objective: To implement the Objective Structured Clinical Evaluation (OSCE) methodology for the assessment of clinical skills in physical therapy specialty students when using PA. Materials and methods: A pilot non-experimental cross-sectional study was conducted in 114 physical therapy students enrolled during the first semester of 2019 in a PA course offered at the Universidad Andres Bello, Santiago, Chile. The OSCE consisted of seven peer-validated stations in which various skills were implemented in simulated clinical scenarios to achieve learning outcomes associated with the use of PA, namely: S1: Connective tissue flexibility; S2:Muscle relaxation; S3:Analgesia; S4:Drainage; S5:Strengthening; S6:Parameters interpretation, and S7:Equipment installation. Observers at each station assessed students' clinical skills and decision-making using a checklist. OSCE scores were described using medians and interquartile ranges, representing the data dispersion between the 25th and 75th percentile (P25-P75). Stations scores by gender were compared using the Mann-Whitney U test. Results: Median scores were higher than the minimum passing score in stations S1 (66, IQR: 52-70), S2 (55, IQR: 45-60), S3 (60, IQR: 50-69), S4 (65, IQR: 55-73), and S7 (40, IQR: 33-45), but they were below the passing score in stations S5 (54, IQR:46-65) and S6 (10, IQR: 9-13). In addition, 101 (88.59%) students had a global passing score in the OSCE. Conclusion: The OSCE scores obtained by the participants show their attainment of clinical skills when using PA, since most of them obtained a global passing score; however, reinforcing the parameters interpretation clinical skills is necessary, since the lowest mean score was obtained in said station. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción. El uso de agentes físicos (AF) en el ejercicio de la fisioterapia requiere razonamiento clínico y saber sus riesgos y contraindicaciones, aunque en ocasiones se observan deficiencias al utilizarlos en la práctica clínica. Objetivo. Implementar la metodología de Evaluación Clínica Objetiva Estructurada (ECOE) para la evaluación de habilidades clínicas en estudiantes de fisioterapia al aplicar AF. Materiales y métodos. Se realizó un estudio piloto transversal no experimental en 114 estudiantes de fisioterapia inscritos en el primer semestre de 2019 en la asignatura de AF en la Universidad Andres Bello, Santiago, Chile. La ECOE consistió de siete estaciones validadas por pares en las que se implementaron diversas habilidades en escenarios clínicos simulados para lograr resultados de aprendizaje asociados al uso de AF, a saber: E1:Flexibilidad tejido conectivo, E2:Relajación muscular, E3:Analgesia, E4:Drenaje, E5:Fortalecimiento, E6:Interpretación de parámetros, y E7:Instalación de equipo. En cada estación, las habilidades clínicas y toma de decisiones fueron evaluadas por observadores usando listas de verificación. Las puntuaciones en la ECOE se describieron usando medianas y rangos intercuartiles, representado la dispersión de los datos entre el percentil 25 y 75 (P25-P75). Los puntajes en cada estación fueron comparados por género mediante la prueba de U de Mann-Whitney. Resultados. Las medianas de puntaje fueron superiores al puntaje aprobatorio en las estaciones E1 (66, RIC:52-70), E2 (55, RIC:45-60), E3 (60, RIC:50-69), E4 (65, RIC:55-73) y E7(40, RIC:33-45), pero inferiores en las estaciones E5 (54, RIC:46-65) y E6 (10,RIC:9-13). Además, 101 estudiantes (88.59%) obtuvieron un puntaje aprobatorio global en la ECOE. Conclusión. Los puntajes obtenidos en la ECOE por los participantes demuestran el logro de habilidades clínicas al utilizar AF, pues la mayoría obtuvo una nota aprobatoria global. No obstante, se requiere reforzar las habilidades clínicas de interpretación de parámetros, estación en la que se obtuvo la media de puntaje más baja. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.15446/revfacmed.v69n3.83545 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 31 StartPage: 116 Subjects: – SubjectFull: CLINICAL competence Type: general – SubjectFull: PHYSICAL therapy Type: general – SubjectFull: MANN Whitney U Test Type: general – SubjectFull: STUDENT health services Type: general – SubjectFull: SIMULATED patients Type: general – SubjectFull: MEDICAL logic Type: general – SubjectFull: SANTIAGO (Chile) Type: general Titles: – TitleFull: Objective structured clinical examination (OSCE) to assess physical therapy students' clinical skills when using physical agents. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: de la Barra Ortiz, Hernán Andrés – PersonEntity: Name: NameFull: Gómez Miranda, Luis Adrián – PersonEntity: Name: NameFull: de la Fuente Astroza, Juan Ignacio IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: jul-sep2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 01200011 Numbering: – Type: volume Value: 69 – Type: issue Value: 3 Titles: – TitleFull: Revista Facultad de Medicina de la Universidad Nacional de Colombia Type: main |
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