PDF(Pubmed)
Abstract：
BACKGROUND: Medical students in Japan undergo a 2-year postgraduate residency program to acquire clinical knowledge and general medical skills. The General Medicine In-Training Examination (GM-ITE) assesses postgraduate residents\' clinical knowledge. A clinical simulation video (CSV) may assess learners\' interpersonal abilities.
OBJECTIVE: This study aimed to evaluate the relationship between GM-ITE scores and resident physicians\' diagnostic skills by having them watch a CSV and to explore resident physicians\' perceptions of the CSV\'s realism, educational value, and impact on their motivation to learn.
METHODS: The participants included 56 postgraduate medical residents who took the GM-ITE between January 21 and January 28, 2021; watched the CSV; and then provided a diagnosis. The CSV and GM-ITE scores were compared, and the validity of the simulations was examined using discrimination indices, wherein ≥0.20 indicated high discriminatory power and >0.40 indicated a very good measure of the subject\'s qualifications. Additionally, we administered an anonymous questionnaire to ascertain participants\' views on the realism and educational value of the CSV and its impact on their motivation to learn.
RESULTS: Of the 56 participants, 6 (11%) provided the correct diagnosis, and all were from the second postgraduate year. All domains indicated high discriminatory power. The (anonymous) follow-up responses indicated that the CSV format was more suitable than the conventional GM-ITE for assessing clinical competence. The anonymous survey revealed that 12 (52%) participants found the CSV format more suitable than the GM-ITE for assessing clinical competence, 18 (78%) affirmed the realism of the video simulation, and 17 (74%) indicated that the experience increased their motivation to learn.
CONCLUSIONS: The findings indicated that CSV modules simulating real-world clinical examinations were successful in assessing examinees\' clinical competence across multiple domains. The study demonstrated that the CSV not only augmented the assessment of diagnostic skills but also positively impacted learners\' motivation, suggesting a multifaceted role for simulation in medical education.
OBJECTIVE: This study aimed to evaluate the relationship between GM-ITE scores and resident physicians\' diagnostic skills by having them watch a CSV and to explore resident physicians\' perceptions of the CSV\'s realism, educational value, and impact on their motivation to learn.
METHODS: The participants included 56 postgraduate medical residents who took the GM-ITE between January 21 and January 28, 2021; watched the CSV; and then provided a diagnosis. The CSV and GM-ITE scores were compared, and the validity of the simulations was examined using discrimination indices, wherein ≥0.20 indicated high discriminatory power and >0.40 indicated a very good measure of the subject\'s qualifications. Additionally, we administered an anonymous questionnaire to ascertain participants\' views on the realism and educational value of the CSV and its impact on their motivation to learn.
RESULTS: Of the 56 participants, 6 (11%) provided the correct diagnosis, and all were from the second postgraduate year. All domains indicated high discriminatory power. The (anonymous) follow-up responses indicated that the CSV format was more suitable than the conventional GM-ITE for assessing clinical competence. The anonymous survey revealed that 12 (52%) participants found the CSV format more suitable than the GM-ITE for assessing clinical competence, 18 (78%) affirmed the realism of the video simulation, and 17 (74%) indicated that the experience increased their motivation to learn.
CONCLUSIONS: The findings indicated that CSV modules simulating real-world clinical examinations were successful in assessing examinees\' clinical competence across multiple domains. The study demonstrated that the CSV not only augmented the assessment of diagnostic skills but also positively impacted learners\' motivation, suggesting a multifaceted role for simulation in medical education.
摘要：
背景：日本的医学生接受为期2年的研究生住院医师课程，以获得临床知识和一般医学技能。普通医学培训考试(GM-ITE)评估研究生住院医师的临床知识。临床模拟视频（CSV）可以评估学习者的人际交往能力。
目的：本研究旨在评估GM-ITE评分与住院医师的诊断技能之间的关系，让他们观看CSV，并探索住院医师对CSV现实的看法，教育价值,并影响他们的学习动机。
方法：参与者包括在2021年1月21日至1月28日期间服用GM-ITE的56名研究生住院医师；观看CSV；然后提供诊断。比较了CSV和GM-ITE评分，并使用歧视指数检查模拟的有效性，其中≥0.20表示具有较高的鉴别力，而>0.40表示对受试者资格的很好衡量。此外,我们进行了匿名调查问卷,以确定参与者对CSV的现实性和教育价值及其对学习动机的影响的看法.
结果：在56名参与者中，6（11％）提供了正确的诊断，都是研究生二年级的。所有领域都具有很高的鉴别力。（匿名）随访反应表明，CSV格式比常规GM-ITE更适合评估临床能力。匿名调查显示，12（52％）参与者发现CSV格式比GM-ITE更适合评估临床能力，18(78%)肯定了视频模拟的真实感，17人(74%)表示这种经历增加了他们的学习动力。
结论：研究结果表明，模拟真实世界临床检查的CSV模块成功地评估了多个领域的受检者的临床能力。研究表明，CSV不仅增强了对诊断技能的评估，而且还积极影响了学习者的动机。表明模拟在医学教育中的多方面作用。
目的：本研究旨在评估GM-ITE评分与住院医师的诊断技能之间的关系，让他们观看CSV，并探索住院医师对CSV现实的看法，教育价值,并影响他们的学习动机。
方法：参与者包括在2021年1月21日至1月28日期间服用GM-ITE的56名研究生住院医师；观看CSV；然后提供诊断。比较了CSV和GM-ITE评分，并使用歧视指数检查模拟的有效性，其中≥0.20表示具有较高的鉴别力，而>0.40表示对受试者资格的很好衡量。此外,我们进行了匿名调查问卷,以确定参与者对CSV的现实性和教育价值及其对学习动机的影响的看法.
结果：在56名参与者中，6（11％）提供了正确的诊断，都是研究生二年级的。所有领域都具有很高的鉴别力。（匿名）随访反应表明，CSV格式比常规GM-ITE更适合评估临床能力。匿名调查显示，12（52％）参与者发现CSV格式比GM-ITE更适合评估临床能力，18(78%)肯定了视频模拟的真实感，17人(74%)表示这种经历增加了他们的学习动力。
结论：研究结果表明，模拟真实世界临床检查的CSV模块成功地评估了多个领域的受检者的临床能力。研究表明，CSV不仅增强了对诊断技能的评估，而且还积极影响了学习者的动机。表明模拟在医学教育中的多方面作用。
