Implementation of an Objective structured clinical examination (OSCE) as a tool to evaluate the development of clinical reasoning in physical therapy students.

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Title: Implementation of an Objective structured clinical examination (OSCE) as a tool to evaluate the development of clinical reasoning in physical therapy students.
Alternate Title: Implementación de un Examen clínico objetivo estructurado (ECOE) como herramienta para evaluar el desarrollo del razonamiento clínico en estudiantes de fisioterapia.
Authors: Figueroa-Arce, Nicole1, Figueroa-González, Paola1, Gómez-Miranda, Luis1, Gutiérrez-Arias, Ruvistay1,2, Contreras-Pizarro, Viviana1
Source: Revista Facultad de Medicina de la Universidad Nacional de Colombia. abr-jun2022, Vol. 70 Issue 2, p1-13. 13p.
Subjects: MEDICAL logic, PHYSICAL therapy, PHYSICAL therapy education, CLINICAL competence, SATISFACTION, CRITICAL thinking
Geographic Terms: CHILE
Abstract (English): Introduction: Clinical reasoning involves critical thinking and decision-making in clinical situations. It can be evaluated using Objective structured clinical examination (OSCE), which measures clinical skills associat- ed with the development of clinical reasoning. Objective: To describe the implementation of an OSCE to evaluate the clinical skills associated with the development of clinical reasoning in physical therapy students, and to determine their level of satisfaction with this methodology. Materials and methods: Cross-sectional descriptive study conducted in 159 physical therapy students from Universidad Andres Bello, Chile, enrolled in the Reasoning in Physical therapy course (second semester of 2018). The OSCE had 11 stations and a student satisfaction survey was administered. Data normality was determined using the Shapiro-Wilk test. Descriptive statistics (percentages, medians, and interquartile ranges (IQR)) were used for data analysis. Results: The median global score was 142 points (IQR: 132-150) and 61.1% of the students obtained a passing score (≥ 134 points). Stations in which most students had a passing score were S3, S5 and S7 (standardized patient stations): 78.62%, 96.85% and 85.53%, respectively. Regarding the satisfaction survey, 36.48% and 59.12% of the students agreed and strongly agreed with using tools that assess their clinical skills. Conclusions: The OSCE was successfully designed and implemented to evaluate the clinical skills associated with the development of clinical reasoning in physical therapy students, and most of them reported a high level of satisfaction with its use; this confirms OSCE is an excellent methodology to train and evaluate these students. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción. El razonamiento clínico implica el pensamiento crítico y la toma de decisiones en situaciones clínicas. Esto puede evaluarse mediante el Examen clínico objetivo estructurado (ECOE), que mide las habilidades clínicas asociadas con el desarrollo del razonamiento clínico. Objetivo. Describir la implementación de un ECOE para evaluar las habilidades clínicas asociadas con el desarro llo de razonamiento clínico en estudiantes de fisioterapia, así como su nivel de satisfacción con esta metodología Materiales y métodos. Estudio transversal descriptivo realizado en 159 estudiantes de fisioterapia de la Universidad Andres Bello, Chile, inscritos en el curso Razonamiento en Fisioterapia (segundo semestre de 2018). El ECOE contó con 11 estaciones y se aplicó una encuesta de satisfacción estudiantil. La normalidad de los datos se determinó mediante la prueba de Shapiro-Wilk y el análisis de los datos se realizó mediante estadística descriptiva (porcentajes, medianas y rangos intercuartílicos (RIC)). Resultados. La mediana del puntaje global fue de 142 puntos (RIC: 132-150) y el 61.1% de los estudiantes obtuvo una puntuación aprobatoria (≥ 134 puntos). Las estaciones con mayor número de estudiantes con un puntaje aprobatorio fueron E3, E5 y E7 (estaciones con paciente estandarizado): 78.62%, 96.85% y 85.53%, respectivamente. Respecto a la encuesta de satisfacción, 36.48% y 59.12% de los estudiantes estuvieron de acuerdo y muy de acuerdo con el uso de herramientas que evalúen sus habilidades clínicas. Conclusiones. El ECOE fue diseñado e implementado exitosamente para evaluar las habilidades clínicas asociadas con el desarrollo del razonamiento clínico en estudiantes de fisioterapia; además, la mayoría de ellos reportó altos niveles de satisfacción con su uso, lo que confirma que es una excelente metodología para capacitar y evaluar estos estudiantes. [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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  Data: Implementation of an Objective structured clinical examination (OSCE) as a tool to evaluate the development of clinical reasoning in physical therapy students.
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  Data: Implementación de un Examen clínico objetivo estructurado (ECOE) como herramienta para evaluar el desarrollo del razonamiento clínico en estudiantes de fisioterapia.
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  Data: <searchLink fieldCode="AR" term="%22Figueroa-Arce%2C+Nicole%22">Figueroa-Arce, Nicole</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Figueroa-González%2C+Paola%22">Figueroa-González, Paola</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Gómez-Miranda%2C+Luis%22">Gómez-Miranda, Luis</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Gutiérrez-Arias%2C+Ruvistay%22">Gutiérrez-Arias, Ruvistay</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Contreras-Pizarro%2C+Viviana%22">Contreras-Pizarro, Viviana</searchLink><relatesTo>1</relatesTo>
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  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>. abr-jun2022, Vol. 70 Issue 2, p1-13. 13p.
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  Data: <searchLink fieldCode="DE" term="%22MEDICAL+logic%22">MEDICAL logic</searchLink><br /><searchLink fieldCode="DE" term="%22PHYSICAL+therapy%22">PHYSICAL therapy</searchLink><br /><searchLink fieldCode="DE" term="%22PHYSICAL+therapy+education%22">PHYSICAL therapy education</searchLink><br /><searchLink fieldCode="DE" term="%22CLINICAL+competence%22">CLINICAL competence</searchLink><br /><searchLink fieldCode="DE" term="%22SATISFACTION%22">SATISFACTION</searchLink><br /><searchLink fieldCode="DE" term="%22CRITICAL+thinking%22">CRITICAL thinking</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22CHILE%22">CHILE</searchLink>
– Name: Abstract
  Label: Abstract (English)
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  Data: Introduction: Clinical reasoning involves critical thinking and decision-making in clinical situations. It can be evaluated using Objective structured clinical examination (OSCE), which measures clinical skills associat- ed with the development of clinical reasoning. Objective: To describe the implementation of an OSCE to evaluate the clinical skills associated with the development of clinical reasoning in physical therapy students, and to determine their level of satisfaction with this methodology. Materials and methods: Cross-sectional descriptive study conducted in 159 physical therapy students from Universidad Andres Bello, Chile, enrolled in the Reasoning in Physical therapy course (second semester of 2018). The OSCE had 11 stations and a student satisfaction survey was administered. Data normality was determined using the Shapiro-Wilk test. Descriptive statistics (percentages, medians, and interquartile ranges (IQR)) were used for data analysis. Results: The median global score was 142 points (IQR: 132-150) and 61.1% of the students obtained a passing score (≥ 134 points). Stations in which most students had a passing score were S3, S5 and S7 (standardized patient stations): 78.62%, 96.85% and 85.53%, respectively. Regarding the satisfaction survey, 36.48% and 59.12% of the students agreed and strongly agreed with using tools that assess their clinical skills. Conclusions: The OSCE was successfully designed and implemented to evaluate the clinical skills associated with the development of clinical reasoning in physical therapy students, and most of them reported a high level of satisfaction with its use; this confirms OSCE is an excellent methodology to train and evaluate these students. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción. El razonamiento clínico implica el pensamiento crítico y la toma de decisiones en situaciones clínicas. Esto puede evaluarse mediante el Examen clínico objetivo estructurado (ECOE), que mide las habilidades clínicas asociadas con el desarrollo del razonamiento clínico. Objetivo. Describir la implementación de un ECOE para evaluar las habilidades clínicas asociadas con el desarro llo de razonamiento clínico en estudiantes de fisioterapia, así como su nivel de satisfacción con esta metodología Materiales y métodos. Estudio transversal descriptivo realizado en 159 estudiantes de fisioterapia de la Universidad Andres Bello, Chile, inscritos en el curso Razonamiento en Fisioterapia (segundo semestre de 2018). El ECOE contó con 11 estaciones y se aplicó una encuesta de satisfacción estudiantil. La normalidad de los datos se determinó mediante la prueba de Shapiro-Wilk y el análisis de los datos se realizó mediante estadística descriptiva (porcentajes, medianas y rangos intercuartílicos (RIC)). Resultados. La mediana del puntaje global fue de 142 puntos (RIC: 132-150) y el 61.1% de los estudiantes obtuvo una puntuación aprobatoria (≥ 134 puntos). Las estaciones con mayor número de estudiantes con un puntaje aprobatorio fueron E3, E5 y E7 (estaciones con paciente estandarizado): 78.62%, 96.85% y 85.53%, respectivamente. Respecto a la encuesta de satisfacción, 36.48% y 59.12% de los estudiantes estuvieron de acuerdo y muy de acuerdo con el uso de herramientas que evalúen sus habilidades clínicas. Conclusiones. El ECOE fue diseñado e implementado exitosamente para evaluar las habilidades clínicas asociadas con el desarrollo del razonamiento clínico en estudiantes de fisioterapia; además, la mayoría de ellos reportó altos niveles de satisfacción con su uso, lo que confirma que es una excelente metodología para capacitar y evaluar estos estudiantes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  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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