ELINA LIKA KIKUCHI
Índice h a partir de 2011
2
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/66, Hospital das Clínicas, Faculdade de Medicina
LIM/66, Hospital das Clínicas, Faculdade de Medicina
10 resultados
Resultados de Busca
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bookPart Constipação Intestinal(2012) KIKUCHI, Elina Lika- Implementing the Objective Structured Clinical Examination (OSCE) in a Geriatrics Fellowship Program - a three-year experience(2012) AVELINO-SILVA, T. J.; GIL, L. A.; LIN, S. M.; FARIAS, L. L.; KIKUCHI, E. L.; SUEMOTO, C. K.; JACOB-FILHO, W.Background: The Objective Structured Clinical Examination (OSCE) appears to be an effective alternative for assessing not only medical knowledge, but also clinical skills, including effective communication and physical examination skills. Our purpose was to implement an OSCE model in a Geriatrics fellowship program and to compare the instrument with traditional essay examination. Methods: Seventy first- and second-year geriatric fellows were initially submitted to a traditional essay examination and scored from 0 to 10 by a faculty member. Subsequently, the same fellows underwent an OSCE with eight ten-minute stations, covering a wide range of essential aspects of geriatric knowledge. Each OSCE station had an examiner responsible for its evaluation according to a predefined checklist. Checklist items were classified for analysis purposes as clinical knowledge items (CKI) and communication skills items (CSI); student responses were scored 0-10. Results: While essay exams took from 30 to 45 minutes to complete, 180 to 200 minutes were required to evaluate students using the proposed OSCE method. Students scored an average of 6.2 ± 1.2 on the traditional essay examination versus 6.6±1.0 on the OSCE(p<0.001). Sub-analyses of OSCE scores indicated that average performance on CKI was lower than the average on CSI (6.4±1.1 vs.8.4±1.1; p<0.001). Students’ performance on the essay exam was similar to their performance on CKI (p=0.13). Second-year fellows performed better than first-year fellows on both the essay exam (p<0.001) and CKI (p=0.05), but not on CSI (p=0.25). Conclusion: The OSCE was successfully implemented as an educational strategy during our Geriatrics fellowship program. Combining different testing modalities may provide the best assessment of competence for various domains of knowledge, skills, and behavior comparison of first and second-year fellows’ performance on traditional essay examination and OSCE.
bookPart Quedas(2023) UTZUMI, Gabriel; KIKUCHI, Elina LikabookPart Artralgias(2022) SALOTTO, Danute Bareisys; KIKUCHI, Elina Lika; TAKAHASHI, Marcelo Kenzo Naya; MELO, Victor José DornelasconferenceObject Objective Structured Clinical Examination in geriatric training: 6-year results and participant opinions.(2015) AVELINO-SILVA, T. J.; KIKUCHI, E. L.; SARAIVA, M. D.; PAULO, M. I. Melo; GIL, L. A.; JACOB-FILHO, W.bookPart Aspectos nutricionais do idoso internado(2019) FERNANDES, Elci Almeida; KIKUCHI, Elina Lika; GARCIA, Vanessa Silva Sullerarticle 1 Citação(ões) na Scopus EVALUATING COMMUNICATION SKILLS OF GERIATRICS FELLOWS: INTERRATER AGREEMENT OF AN OBJECTIVE STRUCTURED CLINICAL EXAMINATION(2016) SARAIVA, Marcos Daniel; PAULO, Maria Luiza de Melo; AVELINO-SILVA, Thiago Junqueira; GIL-JUNIOR, Luiz Antonio; KIKUCHI, Elina Lika; FARIAS, Luciana Louzada; ALVES, Rafael Lyra Rodrigues; SUZUKI, Gisele Sayuri; OLIVIERI, Fabio Cesar; ARANHA, Valmari Cristina; LOPES, Leonardo da Costa; PASSARELLI, Maria Cristina Guerra; MORIGUTI, Julio Cesar; FERRIOLI, Eduardo; WEN, Chao Lung; APOLINARIO, Daniel; JACOB-FILHO, WilsonbookPart Quedas(2017) UTZUMI, Gabriel; KIKUCHI, Elina Lika- Implementing the Objective Structured Clinical Examination in a Geriatrics Fellowship Program-A 3-Year Experience(2012) AVELINO-SILVA, Thiago J.; GIL JR., Luiz A.; SUEMOTO, Claudia K.; KIKUCHI, Elina L.; LIN, Sumika M.; FARIAS, Luciana L.; JACOB-FILHO, WilsonThe Objective Structured Clinical Examination (OSCE) appears to be an effective alternative for assessing not only medical knowledge, but also clinical skills, including effective communication and physical examination skills. The purpose of the current study was to implement an OSCE model in a geriatrics fellowship program and to compare the instrument with traditional essay examination. Seventy first- and second-year geriatric fellows were initially submitted to a traditional essay examination and scored from 0 to 10 by a faculty member. The same fellows subsequently underwent an OSCE with eight 10-minute stations covering a wide range of essential aspects of geriatric knowledge. Each OSCE station had an examiner responsible for its evaluation according to a predefined checklist. Checklist items were classified for analysis purposes as clinical knowledge items (CKI) and communication skills items (CSI); fellow responses were scored from 0 to 10.Although essay examinations took from 30 to 45 minutes to complete, 180200 minutes were required to evaluate fellows using the proposed OSCE method. Fellows scored an average of 6.2 +/- 1.2 on the traditional essay examination and 6.6 +/- 1.0 on the OSCE (P < .001). Subanalyses of OSCE scores indicated that average performance on CKI was lower than the average on CSI (6.4 +/- 1.1 vs. 8.4 +/- 1.1; P < .001). Fellow performance on the essay examination was similar to their performance on CKI (P = .13). Second-year fellows performed better than first-year fellows on the essay examination (P < .001) and CKI (P = .05), but not on CSI (P = .25).The OSCE was successfully implemented as an educational strategy during a geriatrics fellowship program. Combining different testing modalities may provide the best assessment of competence for various domains of knowledge, skills, and behavior.
- Characterizing spontaneously reported cognitive complaints: the development and reliability of a classification instrument(2013) APOLINARIO, Daniel; MIRANDA, Rafaela Branco; SUEMOTO, Claudia Kimie; MAGALDI, Regina Miksian; BUSSE, Alexandre Leopold; SOARES, Aline Thomaz; LOPES, Leonardo da Costa; KASAI, Juliana Yumi Tizon; SATOMI, Erika; KIKUCHI, Elina Lika; JACOB-FILHO, WilsonBackground: The characteristics and associated risks of spontaneously reported cognitive complaints have not been investigated due to the lack of a classification instrument. Methods: In phase 1, a classification system with descriptive categories and cognitive domains was developed by experts through a modified Delphi technique. In phase 2, 180 elderly patients seeking medical attention for cognitive complaints provided free reports of their cognitive difficulties and each complaint was recorded verbatim. Three observers were asked to classify each complaint into a descriptive category. Perceived cognitive function was further characterized using the Memory Complaint Questionnaire (MAC-Q). Results: The patients reported 493 spontaneous complaints, with a range of 1-6 complaints per patient and a mean of 2.7 (+/- 1.3). The proportion of complaints that could be classified into a category by each of the three observers varied from 91.9% to 95.7%. Inter-observer agreement assessed using the kappa statistic varied from 0.79 to 1 for descriptive categories and 0.83 to 0.97 for domains. Compared with the MAC-Q, spontaneously reported complaints provided complementary information by avoiding the cueing effect provoked by the questionnaire. The total number of complaints and their occurrences in specific domains were associated with important sociodemographic and clinical factors, indicating that their meaning and associated risks need to be further investigated. Conclusion: The instrument developed in this study proved to be a practical tool for classifying the majority of spontaneously reported cognitive complaints with high reliability. Further studies are needed to investigate clinical usefulness of this approach.