目标:尽管它在外科专业认证过程中普遍存在,在各个程序领域中,关于口头板交付的数据很少。在这项研究中,我们试图确定跨外科学科的口腔委员会考试管理的细节,目的是突出常见的做法,差异,和创新领域。这种比较分析可能进一步有助于确定统一原则,以巩固各个专业的口语板检查过程。
方法:制定了标准化问卷,其中包括考试结构/管理领域,内容开发,考试先决条件,关于考官的信息,得分,通过/故障率,和新兴技术。在2022年12月至2023年2月之间,进行了结构化面试,以讨论各种口头委员会考试的细节。比较了各种专业之间的面试答案,以推断主题并突出各个董事会之间的创新或新兴技术。
方法:面试是虚拟进行的。
方法:9个程序医疗委员会的执行成员,包括麻醉学,神经外科,产科,和妇科,眼科,骨科手术,耳鼻咽喉头颈外科,整形手术,普外科,和泌尿外科结果:常见的主题包括评估前,术中和术后护理;所有组织均使用涉及多个审查员和心理测量师的候选人检查的所有测试.重要差异包括虚拟管理与个人管理(9个中的3个),作为考试的一部分,纳入和讨论候选人的案例日志(9个中的4个),对专业精神的正式评估(9个中的4个),并纳入客观结构化临床检查(9个中的2个)。
结论:虽然在各个手术领域之间的口腔板输送过程中存在共同的主题和实践,重要的分歧仍然存在。需要不断努力使考试管理标准化并确定最佳做法,以确保口头委员会考试继续有效地确定候选人符合委员会认证所需的资格。
OBJECTIVE: Despite its ubiquity in the certification process among surgical specialties, there is little data regarding oral board delivery across various procedural fields. In this study we sought to determine the specifics of oral board exam administration across surgical disciplines with the goal of highlighting common practices, differences, and areas of innovation. This comparative analysis might further serve to identify unifying principles that undergird the oral board examination process across specialties.
METHODS: A standardized questionnaire was developed that included domains of exam structure/administration, content development, exam prerequisites, information about examiners, scoring, pass/failure rates, and emerging technologies. Between December 2022 and February 2023 structured interviews were conducted to discuss specifics of various oral board exams. Interview answers were compared between various specialties to extrapolate themes and to highlight innovative or emerging techniques among individual boards.
METHODS: Interviews were conducted virtually.
METHODS: Executive members of 9 procedural medical boards including anesthesiology, neurosurgery, obstetrics, and gynecology, ophthalmology, orthopaedic surgery, otolaryngology-head and neck surgery, plastic surgery, general surgery, and urology RESULTS: Common themes include assessment of pre-, intra- and postoperative care; all testing involved candidate examination by multiple examiners and psychometricians were used by all organizations. Important differences included virtual versus in person administration (3 out of 9), inclusion and discussion of candidates\' case logs as part of the exam (4 out of 9), formal assessment of professionalism (4 out of 9), and inclusion of an objective structured clinical examination (2 out of 9).
CONCLUSIONS: While there are common themes and practices in the oral board delivery process between various surgical fields, and important differences continue to exist. Ongoing efforts to standardize exam administration and determine best practices are needed to ensure oral board exams continue to effectively establish that candidates meet the qualifications required for board certification.