Forceps-Assisted Vaginal Delivery Objective Structured Clinical Skills Exam (OSCE)

Autor: Sara Petruska, Carrie Bohnert
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: MedEdPORTAL, Vol 7 (2011)
Druh dokumentu: article
ISSN: 2374-8265
DOI: 10.15766/mep_2374-8265.8562
Popis: Abstract Introduction Currently, the average graduate from residency training in obstetrics-gynecology in the U.S. has performed five forceps-assisted vaginal deliveries in the surgeon's role during training. The relative rarity with which this procedure is performed limits opportunities for assessment of competence. This objective structured clinical examination (OSCE) was designed both to provide formative feedback to learners and to assist with summative assessment of competence in the performance of forceps-assisted vaginal delivery. Methods This learning resource gives instructions and assessment tools to implement a three-station OSCE in forceps-assisted vaginal delivery. The competencies of interpersonal communication and professionalism are assessed as residents complete an informed consent discussion station, medical knowledge and patient care are assessed at a forceps-assisted vaginal delivery simulation station, and patient care and professionalism are assessed at a documentation station. Results Following our implementation of this session in our residency training program, residents indicated an increased level of comfort with forceps-assisted vaginal delivery and we noted an increase in our operative vaginal delivery volume. This OSCE allows programs to provide formative feedback to learners and to assist in a summative manner with assessment of competence in the performance of forceps-assisted vaginal delivery. Discussion As structured, the consent discussion station is focused on evaluating the competencies of professionalism and interpersonal communications, but does not substantively evaluate the content of the resident's counseling for medical knowledge. The scoring instrument for this station could be expanded to more thoroughly evaluate the resident's medical knowledge, or this could be assessed separately via a multiple-choice or short-answer quiz at another station.
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