The new final Clinical Skills examination in human medicine in Switzerland: Essential steps of exam development, implementation and evaluation, and central insights from the perspective of the national Working Group

GMS Zeitschrift für Medizinische Ausbildung. 2015;32(4):Doc40 DOI 10.3205/zma000982

 

Journal Homepage

Journal Title: GMS Zeitschrift für Medizinische Ausbildung

ISSN: 1860-7446 (Print); 1860-3572 (Online)

Publisher: German Medical Science GMS Publishing House

Society/Institution: Gesellschaft für Medizinische Ausbildung

LCC Subject Category: Education: Special aspects of education | Medicine: Medicine (General)

Country of publisher: Germany

Language of fulltext: German, English

Full-text formats available: PDF, HTML, XML

 

AUTHORS


Berendonk, Christoph (University of Bern, Medical Faculty, Institute of Medical Education, Bern, Switzerland)

Schirlo, Christian (University of Zurich, Medical Faculty, Zurich, Switzerland)

Balestra, Gianmarco (University of Basel, Medical Faculty, Basel, Switzerland)

Bonvin, Raphael (University of Lausanne, Medical Faculty, Lausanne, Switzerland)

Feller, Sabine (University of Bern, Medical Faculty, Institute of Medical Education, Bern, Switzerland)

Huber, Philippe (University of Geneve, Medical Faculty, Geneve, Switzerland)

Jünger, Ernst (University of Zurich, Medical Faculty, Zurich, Switzerland)

Monti, Matteo (University of Lausanne, Medical Faculty, Lausanne, Switzerland)

Schnabel, Kai (University of Bern, Medical Faculty, Institute of Medical Education, Bern, Switzerland)

Beyeler, Christine (University of Bern, Medical Faculty, Institute of Medical Education, Bern, Switzerland)

Guttormsen, Sissel (University of Bern, Medical Faculty, Institute of Medical Education, Bern, Switzerland)

Huwendiek, Sören (University of Bern, Medical Faculty, Institute of Medical Education, Bern, Switzerland)

EDITORIAL INFORMATION

Blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 25 weeks

 

Abstract | Full Text

Objective: Since 2011, the new national final examination in human medicine has been implemented in Switzerland, with a structured clinical-practical part in the OSCE format. From the perspective of the national Working Group, the current article describes the essential steps in the development, implementation and evaluation of the Federal Licensing Examination Clinical Skills (FLE CS) as well as the applied quality assurance measures. Finally, central insights gained from the last years are presented. Methods: Based on the principles of action research, the FLE CS is in a constant state of further development. On the foundation of systematically documented experiences from previous years, in the Working Group, unresolved questions are discussed and resulting solution approaches are substantiated (planning), implemented in the examination (implementation) and subsequently evaluated (reflection). The presented results are the product of this iterative procedure.Results: The FLE CS is created by experts from all faculties and subject areas in a multistage process. The examination is administered in German and French on a decentralised basis and consists of twelve interdisciplinary stations per candidate. As important quality assurance measures, the national Review Board (content validation) and the meetings of the standardised patient trainers (standardisation) have proven worthwhile. The statistical analyses show good measurement reliability and support the construct validity of the examination. Among the central insights of the past years, it has been established that the consistent implementation of the principles of action research contributes to the successful further development of the examination.Conclusion: The centrally coordinated, collaborative-iterative process, incorporating experts from all faculties, makes a fundamental contribution to the quality of the FLE CS. The processes and insights presented here can be useful for others planning a similar undertaking.