DREEM QUESTIONAIRE COULD DREEM QUESTIONAIRE COULD NOT PREVIEW RESIDENCYNOT PREVIEW RESIDENCY ADMISSION GRADES IN AN ADMISSION GRADES IN AN

OSCE – BASED TESTOSCE – BASED TEST

Maria do Patrocinio Tenorio NunesMaria do Patrocinio Tenorio NunesThelma S. OkayThelma S. Okay

Júlio Cesar de OliveiraJúlio Cesar de OliveiraCristina H. F. Fonseca – GuedesCristina H. F. Fonseca – Guedes

Joaquim Edson VieiraJoaquim Edson Vieira

UNIVERSITY OF SÃO PAULOUNIVERSITY OF SÃO PAULO SCHOOL OF MEDICINE SCHOOL OF MEDICINE

São Paulo São Paulo BRAZILBRAZIL

UNIVERSITY OF SÃO PAULOUNIVERSITY OF SÃO PAULO SCHOOL OF MEDICINESCHOOL OF MEDICINE

São Paulo São Paulo BRAZILBRAZIL

OSCE Performance as a Residency Admission Test- to provide selection for Residency programs to a public Hospital in

Brazil.

PhotosOSMAR BUSTOSCREMESP

-600 Graduated Doctors around the country

From: 60 different Schools 21 different States

-264 positions as a Resident

-21 Residency Training Programs

E2

Applying Test(Two phase tests)

PHASE 2 Selection ProcessPHASE 2 Selection Process

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)

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 METHODSCASUISTIC 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)

Actress patient

Candidate

Observer

RESULTSRESULTS

Domain of DREEM

questionnaireOSCE GRADE

Student’s Perception of Learning

Internal Medicine

Student’s Perception of Teachers

Surgery

Student’s Academic Self Perceptions

Pediatrics

Student’s Perception of Atmosphere

Gynecology-Obstetrics

Student’s Social Self Perceptions

Social Medicine

30,3 63,2%

Dundee 65,8%

28,8 65,4%

Dundee 65,8%

21,4 66,9%

Dundee 64,3%

31,9 66,43%

Dundee 68,6%

18,1 64,51%

Dundee 65,4%

Dundeescore

Dundee%%

48.0

61.4

68.7

60.85

45.35

Domain of DREEM questionnaire

Perception X

OSCE score(Pearson’s coefficient)

Student’s Perception of Learning

Internal Medicine

r = 0,24

Student’s Perception of Teachers

Surgery

r = 0,16

Student’s Academic Self Perceptions

Pediatrics

r = 0,16

Student’s Perception of Atmosphere

Gynecology-Obstetrics

r = 0,21

Student’s Social Self Perceptions

Social Medicine

r = -0,016

Perceptions Correlation (Pearson’s coefficient

Student’s Perception of

Learning

Student’s Perception

of Teachers

Student’s Academic

Self Perceptions

Student’s Perception of Atmosphere

Student’s Social Self Perceptions

Student’s Perception

of Learningr =0,66 r =0,71 r =0,73 r =0,64

Student’s Perception

of Teachersr =0,60 r =0,72 r =0,56

Student’s Academic

Self Perceptions

r =0,78 r =0,71

Student’s Perception

of Atmosphere

r =0,70

DISCUSSIONDISCUSSION

Perceptions reached a good correlation

• DREEM scores have not been corelated to an expected performance

CONCLUSIONCONCLUSION

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