Comparison of Resident Self-Evaluation to Standardized Patient Evaluators in a Multi-Institutional Objective Structured Clinical Examination
| Autor: | Benjamin Diaczok, Raymond Hilu, Diane Levine, Neelimi Thati, James Kruer, David R. Pieper, Simone Brennan, Patricia McNally, Samira Ahsan |
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| Rok vydání: | 2020 |
| Předmět: |
Counseling
Male Self-Assessment medicine.medical_specialty 020205 medical informatics Epidemiology Objective structured clinical examination education Graduate medical education MEDLINE Psychological intervention Medicine (miscellaneous) 02 engineering and technology Interpersonal communication Truth Disclosure Education 03 medical and health sciences 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering Humans Medicine Interpersonal Relations 030212 general & internal medicine Curriculum Accreditation Physician-Patient Relations business.industry Internship and Residency Reproducibility of Results Checklist Patient Simulation Modeling and Simulation Family medicine Female Educational Measurement Grief business |
| Zdroj: | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 15:69-74 |
| ISSN: | 1559-713X 1559-2332 |
| Popis: | BACKGROUND For the past 30 years, there has been a growing emphasis on communication and self-evaluation skills training in graduate medical education. This is reflected in the Next Accreditation System. The Objective Structured Clinical Examination (OSCE) is widely used in graduate medical education for assessing dimensions of interpersonal communication and counseling skills. The OSCEs may be developed to target challenging clinical scenarios difficult to capture in clinical practice and can be used as a medium for resident self-evaluation. OBJECTIVES The aims of the study were to evaluate residents' interpersonal, communication, and counseling skills using Kalamazoo Essential Elements Communication Checklist in 4 clinically challenging scenarios and to compare standardized patient (SP) evaluations to residents' self-evaluation by category of medical school. METHODS South East Michigan Center for Medical Education is a consortium of teaching hospitals. Member residents participate in 4 OSCEs as part of their postgraduate 1 curriculum. The OSCEs were developed to evaluate clinically relevant but difficult to capture scenarios including: (a) error disclosure/counseling an angry patient; (b) delivering bad news/end of life; (c) domestic violence; and (d) counseling a patient with colon cancer requesting alternative treatments. At the conclusion of each OSCE, SPs evaluated and residents self-evaluated their performance. Once evaluations were completed, SPs provided residents with feedback. RESULTS Six member institutions and 344 residents participated during the 2014, 2015, and 2016 academic years. There were more international medical graduates (59%) than graduates of Liaison Committee for Medical Education-accredited medical schools. There were more males (62.2%) than females. Standardized patients rated residents higher than residents rated themselves in 2014 ( |
| Databáze: | OpenAIRE |
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