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UNIVERSITY OF SÃO PAULO SCHOOL OF MEDICINE. DREEM QUESTIONAIRE COULD NOT PREVIEW RESIDENCY ADMISSION GRADES IN AN OSCE – BASED TEST. Maria do Patrocinio Tenorio Nunes Thelma S. Okay Júlio Cesar de Oliveira Cristina H. F. Fonseca – Guedes Joaquim Edson Vieira. São Paulo BRAZIL.

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UNIVERSITY OF SÃO PAULO SCHOOL OF MEDICINE

DREEM QUESTIONAIRE COULD NOT PREVIEW RESIDENCY ADMISSION GRADES IN AN OSCE – BASED TEST

Maria do Patrocinio Tenorio Nunes

Thelma S. Okay

Júlio Cesar de Oliveira

Cristina H. F. Fonseca – Guedes

Joaquim Edson Vieira

São Paulo BRAZIL


University of s o paulo school of medicine l.jpg

UNIVERSITY OF SÃO PAULOSCHOOL OF MEDICINE

São Paulo BRAZIL

OSCE Performance as a Residency Admission Test

- to provide selection for Residency programs to a public Hospital in Brazil.


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-600 Graduated Doctors around the country

From: 60 different Schools

21 different States

-264 positions as a Resident

-21 Residency Training Programs

Photos

OSMAR BUSTOS

CREMESP


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Applying Test

(Two phase tests)

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)

E2

PHASE 2 Selection Process


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INTRODUCTION

  • DREEM indicates the school’s learning and teaching climate

  • One could expect to see some correlation between school’s climate and OSCE performance


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OBJECTIVE

  • Correlation between DREEM score and OSCE performance in a Residency Admission Test


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CASUISTIC 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


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STATISTICAL ANALYSIS

  • Statistical analysis: Pearson Correlation’s test

    (DREEM scores X OSCE grades)


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Observer

Actress patient

RESULTS

Candidate


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48.0

61.4

68.7

60.85

45.35


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DISCUSSION

  • Perceptions reached a good correlation

  • DREEM scores have not been corelated to an expected performance


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CONCLUSION

  • Students’ perception of school’s climate seems not to have influenced clinical examination performance for Residency admission

  • It should be considered:

    • the selection particularity of the test

    • candidates from many different schools


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