AUTOMATION SKILLS TRAINING IN INTERNS SURGEONS FOR THE OBJECTIVE STRUCTURED CLINICAL EXAM
Authors: Tkachuk О. L. , Atamaniuk О. Yu. , Tkachuk-Grygorchuk О. О. 
Published: January 2021

Current trends in health care require medical professionals in all specialties to use a multidisciplinary and highly competent approach. Therefore, improving the educational process of postgraduate training is an important element in reforming health and medical education. Feature surgical training specialists, primarily, is to build the skills of future specialists who will be competitive in today's job market, as surgical techniques are developing rapidly. This article is dedicated to improving the method aspects of assessment of practical skills acquired during training medical interns in specialty «Surgery» and improve postgraduate training by implementing the latest world technology training and knowledge assessment interns. In this article the basic principles and implementation experience at the Department of Surgery of Postgraduate Education have the structured clinical examination to test knowledge and skills of medical interns. The method of conducting the exam is detailed, the list of stations that should be mastered by internal surgeons during training is determined on the basis of practical skills. Assessment instruments actions interns were checklists and global rating scale (GRS), in which conducted a comprehensive assessment of knowledge. Conducting an objective structured clinical trial has revealed the advantages and disadvantages of this evaluation format, and formed the prospects for further implementation and improvement. In order to obtain reliable results during OSCE's, it is  important to pay attention to each element of quality assurance and standardization as wrong patients, insufficient training of examiners, low quality scoring inappropriate questions of certain sections of the exam have the negative impact on the reliability of estimates OSCE. The objectivity of the exam is an indisputable advantage, as all interns receive the same tasks and time to complete it, which allows to identify not only the learned information, but also, to a large extent, the intern's competence, ability to act in a specific situation and not only know the answers. One of the significant disadvantages of OSCE is the allocation of a short period of time to complete tasks (5 minutes), so the work takes place under programmed stress, both for interns and teachers. However, increasing the time allotted for tasks causes unnecessary deviations from the methodology of the exam: teachers' attempts to explain the correctness of the task, ask additional questions and communicate in an informal style, which is a violation of objectivity and should be excluded. Despite the lack of experience, the exam was passed successfully. The average score for the exam was 9.6 (out of 14 possible). Conducting the exam in this format allowed to determine the practical skills for which the interns received the lowest scores and which need special attention when training interns-surgeons in the future. In the process, noted that the methodology used by system test OSCE gave a new experience as interns and lecturer, has allowed to bring to the automaticity of practical skills during internship. It is advisable to evaluate the validity of checklists, use rating scales to assess the non-technical skills of interns, to ensure maximum objectivity when conducting an exam using simulation technologies. Objective Structured Clinical Exam is one of the effective tools improve the quality of the educational process of post-graduate training in the specialty «Surgery».