• Atencion primaria · Jan 2016

    Do primary health centres and hospitals contribute equally towards achievement of the transversal clinical competencies of medical students? Performance on the Objective Structured Clinical Examination (OSCE) in competency acquisition.

    • Jorge Soler-González, Miquel Buti, Jordi Boada, Victoria Ayala, Eduard Peñascal, Toni Rodriguez, and GERDS group.
    • Faculty of Medicine of Lleida, Spain. Electronic address: jorgesolergonzalez@gmail.com.
    • Aten Primaria. 2016 Jan 1; 48 (1): 424842-8.

    ObjectivesThe adaptation of the educational programmes of European faculties of medicine to the European Higher Education Area guidelines has focused curricula design on competence acquisition. Competencies are defined as the achievements of a predetermined level of efficacy in real-world scenarios. Our objective was to assess whether performance on a common competence evaluation test, the Objective Structured Clinical Examination (OSCE), resulted in different scores for second-year students after a practical medical training course took place in a primary health centre (PHC) or in a hospital.DesignA descriptive study was conducted during the 2010-2014 academic year of the OSCE test scores obtained by all second-year students.LocationFaculty of Medicine at the University of Lleida (Catalonia, Spain).Main MeasurementsWe performed a correlation analysis between students who completed their practical medical training at the PHC and hospitals utilising Student's t-test for comparison of means.Results423 students who completed internships at the PHC and at hospitals obtained OSCE mean scores of 7.32 (SD; IC) (0.82; 7.18-7.47) points and 7.17 (0.83; 6.07-7.26) points, respectively (p=0.07).ConclusionsSecond-year medical students acquired similar competency levels in the two analysed training scenarios. The two areas both serve their teaching purpose.Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

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