L’organisation des examens cliniques objectifs et structurés (ECOS) représente un réel défi auquel toutes les unités de formation et de recherche (UFR) de médecine sont actuellement confrontées. ...Cette modalité de contrôle des compétences reconnue pour évaluer le savoir-agir nécessite des ressources pédagogiques et logistiques importantes. Au centre de la réforme du deuxième cycle des études médicales, les premiers ECOS nationaux se dérouleront en mai 2024. Nous rapportons dans ce travail un retour sur les expériences bien singulières de trois UFR de médecine qui ont des promotions d’étudiants de taille variée et des contraintes spécifiques. Chacun de ces sites a mis en place une organisation particulière afin de pouvoir entraîner et évaluer ses étudiants aux ECOS. De la planification de l’examen, à la rédaction des stations, au recrutement des patients standardisés, l’ensemble des étapes nécessaires à la tenue des ECOS est rapporté. Nous vous proposons ainsi une liste de mesures qui nous paraissent indispensables à la bonne réussite des ECOS facultaires.
The organization of objective and structured clinical examinations (OSCE) represents a real challenge faced by all medical training and research units (UFR). This method of testing recognized competencies to evaluate knowledge-action requires significant pedagogical and logistical resources. At the heart of the reform of the second cycle of medical studies, the first national OSCE will take place in May 2024. In this paper, we report on the unique experiences of three medical schools with different sizes of student classes and specific constraints. Each site has set up a particular organization to train and evaluate its students for the OSCE. From the planning of the exam to the writing of the stations to the recruitment of standardized patients, all the steps necessary to conduct the OSCE are reported. We propose a list of measures that we believe are essential to the success of the faculty OSCE.
Ensuring the availability of ultrasound devices is the initial step in implementing clinical ultrasound (CUS) in emergency services. In France in 2011, 52% of emergency departments (EDs) and only 9% ...of mobile intensive care stations (MICS) were equipped with ultrasound devices. The main goal of this study was to determine the movement of these rates since 2011.
We conducted a cross-sectional, descriptive, multicentre study in the form of a questionnaire. To estimate the numbers of EDs and MICS equipped with at least one ultrasound system with a confidence level of 95% and margin of error of 5%, 170 responding EDs and 145 MICS were required. Each service was solicited three times by secure online questionnaire and then by phone.
Three hundred and twenty-eight (84%) services responded to the questionnaire: 179 (86%) EDs and 149 (82%) MICS. At least one ultrasound machine was available in 127 (71%, 95% CI 64; 78) EDs vs. 52% in 2011 (P<0.01). 42 (28%, 95% CI 21; 35) MICS were equipped vs. 9% in 2011 (P<0.01). In 97 (76%) EDs and 24 (55%) MICS, less than a half of physicians were trained. CUS was used at least three times a day in 52 (41%) EDs and in 8 (19%) MICS.
Our study demonstrates improved access to ultrasound devices in French EDs and MICS. Almost three-quarters of EDs and nearly one-third of MICS are now equipped with at least one ultrasound device. However, the rate of physicians trained per service remains insufficient.
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