Evaluación clínica objetiva estructurada (ECOE) para evaluar las habilidades clínicas de los estudiantes de fisioterapia al utilizar agentes físicos

Hernán Andrés de la Barra-Ortiz, Luis Adrián Gómez-Miranda, Juan Ignacio de la Fuente-Astroza

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Introduction: The use of physical agents in physical therapy (PT) requires clinical reasoning, as well as knowledge of their risks and contraindications; however, deficiencies may be observed when used in clinical practice. Objective: To implement the Objective Structured Clinical Evaluation (OSCE) method for the assessment of clinical skills among physical therapy specialty students when using physical agents. Materials and methods: A pilot, non-experimental, cross-sectional study was conducted in 114 physical therapy students enrolled during the first semester of 2019 in a physical agents course offered at the Universidad Andres Bello, Santiago, Chile. The OSCE consisted of 7 peer-validated stations, in which various skills were implemented in simulated clinical scenarios to achieve learning outcomes associated with the use of physical agents, namely: S1: connective tissue flexibility; S2: muscle relaxation; S3: analgesia; S4: drainage; S5: muscle strengthening; S6: parameter interpretation; and S7: equipment installation. Observers at each station assessed students’ clinical skills and decision-making using a checklist. OSCE scores were described using medians and interquartile ranges, representing the data dispersion between the 25th and 75th percentile (P25-P75). Station scores by sex were compared using the Mann-Whitney U test. Results: Median scores were higher than the minimum passing score in stations S1 (66, IQR: 52-70), S2 (55, IQR: 45-60), S3 (60, IQR: 50-69), S4 (65, IQR: 55-73), and S7 (40, IQR: 33-45), but they were below the passing score in stations S5 (54, IQR:46-65) and S6 (10, IQR: 9-13). In addition, 101 (88.59%) students had a global passing score in the OSCE. Conclusion: The OSCE scores obtained by the participants show their attainment of clinical skills when using physical agents since most of them obtained a global passing score; however, reinforcing the clinical skills for parameter interpretation is necessary, considering that the lowest mean score was obtained in said station.

Título traducido de la contribuciónObjective structured clinical examination (OSCE) to assess the clinical skills of physical therapy students when using physical agents
Idioma originalEspañol
Número de artículoe83545
PublicaciónRevista Facultad de Medicina
Volumen69
N.º3
DOI
EstadoPublicada - 1 jul. 2021

Palabras clave

  • Learning
  • Physical and Rehabilitation Medicine
  • Physical Therapy Modalities
  • Student Health Services (MeSH)

Áreas temáticas de ASJC Scopus

  • Medicina (todo)

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