DREEM QUESTIONAIRE COULD NOT PREVIEW RESIDENCY ADMISSION GRADES IN AN OSCE – BASED TEST Maria do...
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Transcript of DREEM QUESTIONAIRE COULD NOT PREVIEW RESIDENCY ADMISSION GRADES IN AN OSCE – BASED TEST Maria do...
DREEM QUESTIONAIRE COULD DREEM QUESTIONAIRE COULD NOT PREVIEW RESIDENCYNOT PREVIEW RESIDENCY ADMISSION GRADES IN AN ADMISSION GRADES IN AN
OSCE – BASED TESTOSCE – BASED TEST
Maria do Patrocinio Tenorio NunesMaria do Patrocinio Tenorio NunesThelma S. OkayThelma S. Okay
Júlio Cesar de OliveiraJúlio Cesar de OliveiraCristina H. F. Fonseca – GuedesCristina H. F. Fonseca – Guedes
Joaquim Edson VieiraJoaquim Edson Vieira
UNIVERSITY OF SÃO PAULOUNIVERSITY OF SÃO PAULO SCHOOL OF MEDICINE SCHOOL OF MEDICINE
São Paulo São Paulo BRAZILBRAZIL
UNIVERSITY OF SÃO PAULOUNIVERSITY OF SÃO PAULO SCHOOL OF MEDICINESCHOOL OF MEDICINE
São Paulo São Paulo BRAZILBRAZIL
OSCE Performance as a Residency Admission Test- to provide selection for Residency programs to a public Hospital in
Brazil.
PhotosOSMAR BUSTOSCREMESP
-600 Graduated Doctors around the country
From: 60 different Schools 21 different States
-264 positions as a Resident
-21 Residency Training Programs
E2
Applying Test(Two phase tests)
PHASE 2 Selection ProcessPHASE 2 Selection Process
Phase 1 - Writing test (3.000 candidates)
Phase 2 – OSCE Based Test (600 candidates)2 stations for Internal Medicine, Surgery,
Pediatrics, Gynecology-Obstetrics and Social Medicine (each)
INTRODUCTION
• DREEM indicates the school’s learning and teaching climate
• One could expect to see some correlation between school’s climate and OSCE performance
CASUISTIC and METHODSCASUISTIC and METHODS
• 50 items DREEM questionnaire
• 314 recently graduated physicians
• Performance on Observed Structured Clinical Examination – OSCE
• Comparison (correlation) between OSCE and DREEM score at the same population
STATISTICAL ANALYSIS
• Statistical analysis: Pearson Correlation’s test
(DREEM scores X OSCE grades)
Domain of DREEM
questionnaireOSCE GRADE
Student’s Perception of Learning
Internal Medicine
Student’s Perception of Teachers
Surgery
Student’s Academic Self Perceptions
Pediatrics
Student’s Perception of Atmosphere
Gynecology-Obstetrics
Student’s Social Self Perceptions
Social Medicine
30,3 63,2%
Dundee 65,8%
28,8 65,4%
Dundee 65,8%
21,4 66,9%
Dundee 64,3%
31,9 66,43%
Dundee 68,6%
18,1 64,51%
Dundee 65,4%
Dundeescore
Dundee%%
48.0
61.4
68.7
60.85
45.35
Domain of DREEM questionnaire
Perception X
OSCE score(Pearson’s coefficient)
Student’s Perception of Learning
Internal Medicine
r = 0,24
Student’s Perception of Teachers
Surgery
r = 0,16
Student’s Academic Self Perceptions
Pediatrics
r = 0,16
Student’s Perception of Atmosphere
Gynecology-Obstetrics
r = 0,21
Student’s Social Self Perceptions
Social Medicine
r = -0,016
Perceptions Correlation (Pearson’s coefficient
Student’s Perception of
Learning
Student’s Perception
of Teachers
Student’s Academic
Self Perceptions
Student’s Perception of Atmosphere
Student’s Social Self Perceptions
Student’s Perception
of Learningr =0,66 r =0,71 r =0,73 r =0,64
Student’s Perception
of Teachersr =0,60 r =0,72 r =0,56
Student’s Academic
Self Perceptions
r =0,78 r =0,71
Student’s Perception
of Atmosphere
r =0,70
DISCUSSIONDISCUSSION
Perceptions reached a good correlation
• DREEM scores have not been corelated to an expected performance