臨床神経学

第48回日本神経学会総会

<シンポジウム6-5>医学教育における神経学
神経内科のアドバンスト・オスキーに向けて

吉井 文均

東海大学 神経内科〔〒259-1193 伊勢原市望星台〕

Advanced OSCE evaluates (1) the ability to elicit a relevant history based on the clinical complaints, (2) the application and successful completion of appropriate physical examination maneuvers, given the chief complaint, and (3) the knowledge and ability to provide appropriate tests and treatments with respect to the diagnosis. It is now widely employed as a test after clinical clerkship rotations. Students perform clinical tasks in a series of clinical test stations while interacting with a trained lay-person, called a standardized patient (SP). Time for one station is 15-25 minutes. Evaluations are usually performed by two physician examiners and the SP, who score students' performance according to checklists developed by OSCE Test Committees.
Because of the advantages of this tool, advanced OSCE will be adopted not only in undergraduate, but also in postgraduate medical settings in the future. For the successful spread of advanced OSCE in the field of neurology, it will be important to (1) develop high-quality scenarios, (2) teach students how to make precise neurological examinations, (3) demonstrate the reliability and reproducibility of OSCE scores amongst different observers, (4) organize workshops for faculty development, and (5) establish facilities for training students and SPs.

(臨床神経, 47:897−899, 2007)
key words:アドバンスト・オスキー, クラークシップ, 臨床能力, 標準模擬患者, 神経内科

(受付日:2007年5月16日)