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Abstract Introduction This objective structured clinical exam (OSCE) involves a 5-minute patient encounter and aims to assess a trainees' ability to function as a first-responder in a non-medical setting. The target audience includes individuals who have received first-responder training, including medical students and emergency medical services professionals. Methods The OSCE encounter begins as the student enters the bedroom of a friend (standardized patient #1), who is found unconscious on the floor with a wound on her antecubital region, blood pooling on the floor, and a rolling chair next to her. The maid (standardized patient #2) joins the student in the room at a specified time. The student is expected to perform several critical actions, including assessing standardized patient #1's responsiveness, airway, breathing, and circulation as well as opening her airway, ensuring neck immobilization, managing her wound and fractured extremity, assessing her for other injuries, obtaining a relevant history, and communicating with emergency medical services personnel. Also included in this submission are three video standards of poor, good, and excellent performance in the OSCE, and completed grading checklists for these videos. Results The OSCE at our institution was run at the Clinical Skills Center in the fall of 2012, with all students in the first-year class participating (N = 42). The OSCE was successful in assessing student performance of the critical actions and highlighting areas that required emphasis and review for our students. Students generally gave positive feedback for the OSCE and requested that they be provided with more similar opportunities to practice their first-responder skills during the course of the year. Discussion We found that students had difficulty in remembering to do a jaw-thrust maneuver to open the patient's airway. The OSCE was meant to be formative for the students and to provide feedback on the course's efficacy to the course directors. The OSCE grade did not contribute to the students' overall medical school grades, although our OSCE checklist can easily be used as a grading tool as well. |
