• Ying-Ying Yang, Fa-Yauh Lee, Hui-Chi Hsu, Chin-Chou Huang, Jaw-Wen Chen, Wen-Shin Lee, Chiao-Lin Chuang, Ching-Chih Chang, Hao-Min Chen, and Chia-Chang Huang.
• Division of General Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
• J Chin Med Assoc. 2011 May 1; 74 (5): 198-204.

BackgroundClinical competency certifications are important parts of internal medicine residency training. This study aims to evaluate a composite objective structured clinical examination (OSCE) that assesses postgraduate year-1 (PGY(1)) residents' acquisition of the six core competencies defined by the Accreditation council for Graduate Medical Education (ACGME).MethodsSix-core-competency-based OSCE was used as examination of the clinical performance of 192 PGY(1) residents during their 3-month internal medicine training between 2007 January and 2009 December. For each year, the reliability of the entire examination was calculated with Cronbach's alpha.ResultsThe reliability of six-core-competency-based OSCE was acceptable, ranging from 0.69 to 0.87 between 2007 and 2009. In comparison with baseline scores, the summary scores and core-competency subscores all showed significant increase after PGY(1) residents finished their 3-month internal medicine training program.ConclusionBy using a structured development process, the authors were able to create reliable evaluation items for determining PGY(1) residents' acquisition of the ACGME core competencies.Copyright © 2011. Published by Elsevier B.V.

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