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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 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.
-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
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 • DREEM indicates the school’s learning and teaching climate • One could expect to see some correlation between school’s climate and OSCE performance
OBJECTIVE • Correlation between DREEM score and OSCE performance in a Residency Admission Test
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: Pearson Correlation’s test (DREEM scores X OSCE grades)
Observer Actress patient RESULTS Candidate
48.0 61.4 68.7 60.85 45.35
DISCUSSION • Perceptions reached a good correlation • DREEM scores have not been corelated to an expected performance
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