另一種心理師專業能力的評量模式：客觀結構式臨床測驗模式在心理學的應用

The Competency-Based Assessment Model: An OSCE Application in Psychology

研究目的：隨著2001年心理師法的三讀通過，心理師的專業性獲得法律的保障與規範。就國內外心理師證照考試的內容而言，心理師專業能力的評量大多著重於知識面的評估，缺乏行為與態度面向的評估。目前，國內外心理學的學者專家們都逐漸以全方位專業能力的角度思考心理師所應具備的專業能力。研究方法：本文以文獻回顧的方式，分別從「心理師專業能力的內涵與評估」、「現行評量模式的優缺」與「OSCE應用於心理學的適用性」評析OSCE是否適用於心理師專業能力的評量。研究結果：OSCE在「信效度」、「測量實務」和「與實務工作的貼近性」三項標準的評估下，皆證實為一種適合用來評估心理師全方位專業能力的評量模式。此模式透過多個施測工作站與多面向專業能力的測量，評估心理師能否將專業知識、技能與態度確實地表現出來。研究結論：目前，OSCE模式已是醫事人員能力評量的主流模式之一，心理學界可將此模式應用於心理師專業能力的評估，進行「專業能力基礎（competency-based）」的教育訓練，以協助心理師面對日益嚴峻且多元的心理實務工作處境。

Purpose: This paper presents an integrative literature review conducted to describe the objective structured clinical examination (OSCE) as a possible alternative measurement approach to assessing clinical competency in psychology. In 2001, the Executive Yuan of Taiwan passed the Mental Health Act and Regulations bill governing the licensing and continuing education of psychologists. Due to the increasing demand for professional services and these licensing regulations, the standards for professional competency have increased. However, the licensure examination for psychologists in Taiwan is still limited to a paper-and-pencil format. There is no systematic and objective assessment method or tool available to evaluate practical skills and attitudes when delivering actual psychological services. Method: A literature review was conducted on three topics: clinical competence in psychology, a comprehensive comparison of current measurement models, and OSCE applications in psychology. Results: The OSCE has been found to assess psychologists’ knowledge, practice skills, and attitudes at the same time. It is widely used in the health sciences to assess clinical competence and is regarded as an improvement over the traditional paper-and-pencil examinations because the design of its testing procedures and its scoring process are standardized for good reliability and validity. Conclusion: The OSCE has been shown to distinguish psychologists with various levels of competency and can enhance the effectiveness of continuing education training and professional development.