Post clinical clerkship-OSCE を見据えた歯周病科での模擬OSCE の概要

Abstract

Objective structured clinical examination (OSCE) is widely used for assessment of clinical skills in dental education. In dental schools in Japan, the OSCE has been implemented to guarantee the student's clinical skills before their clinical training. Whereas it has been discussed and recognized recently that evaluation of student's clinical skills at the time of their post-clinical training is very important, called as Post-clinical clerkship OSCE (PCC-OSCE), however, the examination tasks are undecided yet. The purpose of this our trial was to learn the validity, objectivity, feasibility, and acceptability of the PCC-OSCE to the students or faculty aside from gaining the experience in OSCE. The examination task was explaining of the treatment plan to the patients with severe periodontitis for the simulated OSCE, and the clinical skills of 32 students during clinical training (male, N=20; female, N=12) were evaluated by 2 evaluators. The raw score between 2 evaluators was analyzed statistically (r=0.85, P<0.001, Spearman's rank correlation coefficient). Average score rate of all students was 51.2 % and we felt that the score was relatively low. Although the quality of our education system for periodontology is difficult to discuss from these results, development of the PCC-OSCE and the findings described in this paper will be of value to clinical staff who are developing PCC-OSCE in Tokushima University Dental School.