Adult higher education and higher education＇ s self-study exam are parts of the continuing education system, and also very important parts of the education system in China. Now, in addition to the ordinary full-time ...Adult higher education and higher education＇ s self-study exam are parts of the continuing education system, and also very important parts of the education system in China. Now, in addition to the ordinary full-time higher education, these two education systems are important for the education system in China, and also are important ways for people to learn knowledge and get a diploma. However, a great number of students raise many questions about the difference between the two systems, and feel highly confused about choosing adult higher education or higher education＇ s self-study exam currently. In this paper, the similarities and differences between adult higher education and higher education ＇ s self-study exam are discussed, so that a good choice is easily made by students before one of them is applied.展开更多
BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficu...BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficult due to high volume, high acuity inpatient care, as well as inconsistent direct supervision. Nevertheless,structured assessment is required for training programs. We hypothesized that objective structured clinical examination(OSCE) would be an effective tool for assessment of SBP.AIM To develop a novel method for SBP milestone assessment of gastroenterology fellows using the OSCE.METHODS For this observational study, we created 4 OSCE stations: Counseling an impaired colleague, handoff after overnight call, a feeding tube placement discussion, and giving feedback to a medical student on a progress note. Twentysix first year fellows from 7 programs participated. All fellows encountered identical case presentations. Checklists were completed by trained standardized patients who interacted with each fellow participant. A report with individual and composite scores was generated and forwarded to program directors to utilize in formative assessment. Fellows also received immediate feedback from a faculty observer and completed a post-session program evaluation survey.RESULTS Survey response rate was 100%. The average composite score across SBP milestones for all cases were 6.22(SBP1), 4.34(SBP2), 3.35(SBP3), and 6.42(SBP4)out of 9. The lowest composite score was in SBP 3, which asks fellows to advocate for cost effective care. This highest score was in patient care 2, which asks fellows to develop comprehensive management plans. Discrepancies were identified between the fellows’ perceived performance in their self-assessments and Standardized Patient checklist evaluations for each case. Eighty-seven percent of fellows agreed that OSCEs are an important component of their clinical training,and 83% stated that the cases were similar to actual clinical encounters. All participating fellows stated that the immediate feedback was "very useful." One hundred percent of the fellows stated they would incorporate OSCE learning into their clinical practice.CONCLUSION OSCEs may be used for standardized evaluation of SBP milestones. Trainees scored lower on SBP milestones than other more concrete milestones. Training programs should consider OSCEs for assessment of SBP.展开更多
Standardized exam in American public education are being reformed.Over the next four years,hundreds of university professors and testing experts will work together to design new assessment system.The new tests will be...Standardized exam in American public education are being reformed.Over the next four years,hundreds of university professors and testing experts will work together to design new assessment system.The new tests will be computer-based and will measure higher-order skills ignored by the multiple-choice exams used in all states,including students’ability to read complex texts,synthesize(合成)information and do research projects.展开更多
文摘Adult higher education and higher education＇ s self-study exam are parts of the continuing education system, and also very important parts of the education system in China. Now, in addition to the ordinary full-time higher education, these two education systems are important for the education system in China, and also are important ways for people to learn knowledge and get a diploma. However, a great number of students raise many questions about the difference between the two systems, and feel highly confused about choosing adult higher education or higher education＇ s self-study exam currently. In this paper, the similarities and differences between adult higher education and higher education ＇ s self-study exam are discussed, so that a good choice is easily made by students before one of them is applied.
文摘BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficult due to high volume, high acuity inpatient care, as well as inconsistent direct supervision. Nevertheless,structured assessment is required for training programs. We hypothesized that objective structured clinical examination(OSCE) would be an effective tool for assessment of SBP.AIM To develop a novel method for SBP milestone assessment of gastroenterology fellows using the OSCE.METHODS For this observational study, we created 4 OSCE stations: Counseling an impaired colleague, handoff after overnight call, a feeding tube placement discussion, and giving feedback to a medical student on a progress note. Twentysix first year fellows from 7 programs participated. All fellows encountered identical case presentations. Checklists were completed by trained standardized patients who interacted with each fellow participant. A report with individual and composite scores was generated and forwarded to program directors to utilize in formative assessment. Fellows also received immediate feedback from a faculty observer and completed a post-session program evaluation survey.RESULTS Survey response rate was 100%. The average composite score across SBP milestones for all cases were 6.22(SBP1), 4.34(SBP2), 3.35(SBP3), and 6.42(SBP4)out of 9. The lowest composite score was in SBP 3, which asks fellows to advocate for cost effective care. This highest score was in patient care 2, which asks fellows to develop comprehensive management plans. Discrepancies were identified between the fellows’ perceived performance in their self-assessments and Standardized Patient checklist evaluations for each case. Eighty-seven percent of fellows agreed that OSCEs are an important component of their clinical training,and 83% stated that the cases were similar to actual clinical encounters. All participating fellows stated that the immediate feedback was "very useful." One hundred percent of the fellows stated they would incorporate OSCE learning into their clinical practice.CONCLUSION OSCEs may be used for standardized evaluation of SBP milestones. Trainees scored lower on SBP milestones than other more concrete milestones. Training programs should consider OSCEs for assessment of SBP.
文摘Standardized exam in American public education are being reformed.Over the next four years,hundreds of university professors and testing experts will work together to design new assessment system.The new tests will be computer-based and will measure higher-order skills ignored by the multiple-choice exams used in all states,including students’ability to read complex texts,synthesize(合成)information and do research projects.
