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

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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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dreem questionaire could not preview residency admission grades in an osce based test

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

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.

slide3

-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

slide4

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

introduction
INTRODUCTION
  • DREEM indicates the school’s learning and teaching climate
  • One could expect to see some correlation between school’s climate and OSCE performance
objective
OBJECTIVE
  • Correlation between DREEM score and OSCE performance in a Residency Admission Test
casuistic and methods
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
statistical analysis
STATISTICAL ANALYSIS
  • Statistical analysis: Pearson Correlation’s test

(DREEM scores X OSCE grades)

slide9

Observer

Actress patient

RESULTS

Candidate

slide10

48.0

61.4

68.7

60.85

45.35

discussion
DISCUSSION
  • Perceptions reached a good correlation
  • DREEM scores have not been corelated to an expected performance
conclusion
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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