 |
|
The Use of an Objective Structured Clinical Examination With Postgraduate Residents in Pediatrics
Robert I. Hilliard, MD, EdD, FRCPC;
Susan E. Tallett, MBBS, FRCPC
Arch Pediatr Adolesc Med. 1998;152:74-78.
Objective To evaluate the usefulness of an objective structured clinical examination (OSCE) for assessing and providing feedback to postgraduate residents in pediatrics.
Design A 5-station OSCE given in 1996, based on the educational objectives of a general pediatric training program. Each station assessed the residents' interviewing and history-taking skills with a standardized patient. The results were correlated with those of the in-training evaluation reports.
Setting The Department of Paediatrics, University of Toronto Faculty of Medicine, Toronto, Ontario.
Participants Forty-three of 61 pediatric residents: 14 first-year, 12 second-year, 8 third-year, and 9 fourth-year residents.
Main Outcome Measures Scores for each of the 5 stations were broken down into 15 points for the checklist, 5 for the global assessment, and 10 for the written postencounter question, for a total score of 150. The in-training evaluation report ratings were converted to a 5-point numerical scale, ranging from 1 (unsatisfactory) to 5 (outstanding).
Results The mean OSCE score for the 43 pediatric residents was 104.9. Although the residents in their senior year scored higher, there was no statistically significant difference among the 4 years for the total OSCE score or for any of the 5 stations. The fourth-year residents' scores on the postencounter questions were significantly (P<.05) higher than the first-year residents' scores. Two residents scored less than 60%. The internal consistency of the 5-station OSCE was limited (r=0.69). Residents received verbal feedback at the conclusion of the OSCE, and they received their scores when they were calculated. The mean overall in-training evaluation report score for all 61 pediatric residents was 3.9. There was a moderate, but statistically significant, correlation between the overall mean OSCE results and the overall mean in-training evaluation report scores (r=0.45).
Conclusion The OSCE can provide a useful formative evaluation of postgraduate residents, but the usefulness of the evaluation data and the feedback must be balanced with the logistic difficulties and expense.
From the Department of Paediatrics, the Hospital for Sick Children and the University of Toronto Faculty of Medicine, Toronto, Ontario.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
A trial of the objective structured practical examination in physiology at Melaka Manipal Medical College, India
Abraham et al.
Adv. Physiol. Educ. 2009;33:21-23.
ABSTRACT
| FULL TEXT
Resident Training in Developmental/Behavioral Pediatrics: Where Do We Stand?
Boreman et al.
CLIN PEDIATR 2007;46:135-145.
ABSTRACT
Using children as standardised patients for assessing clinical competence in paediatrics
Tsai
Arch. Dis. Child. 2004;89:1117-1120.
ABSTRACT
| FULL TEXT
Raising the Passing Grade for Studies of Medical Education
Lurie
JAMA 2003;290:1210-1212.
FULL TEXT
The Objective Structured Clinical Examination: A Step in the Direction of Competency-Based Evaluation
Carraccio and Englander
Arch Pediatr Adolesc Med 2000;154:736-741.
ABSTRACT
| FULL TEXT
Effective Evaluation of Residency Education: How Do We Know It When We See It?
Siegel and Greenberg
Pediatrics 2000;105:964-965.
FULL TEXT
A Pediatric Clinical Skills Assessment Using Children as Standardized Patients
Lane et al.
Arch Pediatr Adolesc Med 1999;153:637-644.
ABSTRACT
| FULL TEXT
Objective Structured Clinical Examination in Pediatrics
Aithala K
Arch Pediatr Adolesc Med 1998;152:715-715.
FULL TEXT
|
