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https://www.readbyqxmd.com/read/28693486/performance-of-international-medical-students-in-psychosocial-medicine
#1
D Huhn, J Lauter, D Roesch Ely, E Koch, A Möltner, W Herzog, F Resch, S C Herpertz, C Nikendei
BACKGROUND: Particularly at the beginning of their studies, international medical students face a number of language-related, social and intercultural challenges. Thus, they perform poorer than their local counterparts in written and oral examinations as well as in Objective Structured Clinical Examinations (OSCEs) in the fields of internal medicine and surgery. It is still unknown how international students perform in an OSCE in the field of psychosocial medicine compared to their local fellow students...
July 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28675095/development-and-pilot-testing-of-an-objective-structured-clinical-examination-for-obstructive-sleep-apnea
#2
Nasir I Bhatti, Muhammad Abbas Abid, C Matthew Stewart, Carol Fleishman, Niall Jefferson, Stacey L Ishman
Objective Our aim was (1) to develop an objective structured clinical examination (OSCE) for obstructive sleep apnea (OSA) and (2) to test the reliability and evaluate the feasibility of this OSCE while assessing residents' clinical skills in multiple core competencies via the standardized patient methodology. Study Design Development of assessment tool. Setting Johns Hopkins Medicine Simulation Center. Subjects and Methods Residents of the Department of Otolaryngology-Head and Neck Surgery at The Johns Hopkins University School of Medicine were invited to participate...
June 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28634679/establishment-of-two-forensic-medicine-osce-stations-on-the-subject-of-external-post-mortem-examination
#3
S Heide, R Lessig, V Hachmann, D Stiller, M Rönsch, D Stoevesandt, A Biolik, S Watzke, J Kellner
An improvement in quality of medical external post-mortem examinations among others can be achieved by more intensive training of medical students. Modern learning and teaching methods such as e-learning modules and SkillsLab stations should be used for this. The introduction of corresponding methods of assessment such as the OSCE procedure is necessary to test the success of learning. In Halle (Germany), two OSCE stations on the subject of external post-mortem examinations were introduced in 2016. The 'practical external post-mortem examination' station test skills and abilities students have learned during practical external post-mortem examination in small group classes on a simulation doll...
June 21, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28593001/teaching-echoscopy-for-the-early-diagnosis-of-ascites-in-cirrhosis-assessment-of-an-objective-structured-clinical-examination-osce
#4
Salmi Andrea, Lanzani Giovanna, Campagnola Pietro, Frulloni Luca
INTRODUCTION: We assessed the efficacy of a brief, 8-h teaching program, using an objective structured clinical examination (OSCE) for the use of a pocket ultrasound device (echoscope) focused on bed side diagnosis of subclinical ascites in chronic liver disease. PATIENTS AND METHODS: Ten cirrhotic patients, five with subclinical ascites and five without, were selected during ultrasound examination performed with a high performance equipment for screening of hepatocellular carcinoma...
June 2017: Journal of Ultrasound
https://www.readbyqxmd.com/read/28553735/group-observed-structured-encounter-gosce-for-third-year-medical-students-improves-self-assessment-of-clinical-communication
#5
Allison B Ludwig, Amanda C Raff, Juan Lin, Ellie Schoenbaum
OBJECTIVES: This study assesses the effectiveness of a GOSCE in teaching medical students clinical communication, as well as group collaboration and peer feedback. METHODS: The GOSCE was administered during the Internal Medicine clerkship. Groups consisted of 4-6 students and one faculty member. Students completed pre- and post-GOSCE surveys to assess confidence in clinical communication and a GOSCE evaluation to rate the overall experience. Pre- and post-GOSCE program survey scores were compared, and the mean score and standard deviation of the GOSCE evaluation was calculated...
May 27, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28228339/the-effect-on-reliability-and-sensitivity-to-level-of-training-of-combining-analytic-and-holistic-rating-scales-for-assessing-communication-skills-in-an-internal-medicine-resident-osce
#6
Vijay John Daniels, Dwight Harley
OBJECTIVE: Although previous research has compared checklists to rating scales for assessing communication, the purpose of this study was to compare the effect on reliability and sensitivity to level of training of an analytic, a holistic, and a combined analytic-holistic rating scale in assessing communication skills. METHODS: The University of Alberta Internal Medicine Residency runs OSCEs for postgraduate year (PGY) 1 and 2 residents and another for PGY-4 residents...
February 14, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28127127/factors-associated-with-performance-in-an-internal-medicine-clerkship
#7
Colleen Colbert, Tresa McNeal, Maybelline Lezama, Martha Chandler, Lisa Forrester, Austin Metting, Curtis Mirkes, Holly Van Cleave, Sonny Win, John D Myers
The purpose of this retrospective study was to examine the relationship between demographic and educational variables and student performance on an internal medicine (IM) clerkship in order to target areas for educational intervention and potential early remediation. This study examined data associated with third-year medical student performance (N = 505) during the IM clerkship at Baylor Scott & White, Temple/Texas A&M Health Science Center College of Medicine from 2005 to 2011. Multiple regression analysis (N = 341) showed that a model containing the following variables was significantly associated with scores on the National Board of Medical Examiners (NBME) subject exam, accounting for 46...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28056969/voluntary-attendance-of-small-group-brainstorming-tutoring-courses-intensify-new-clerk-s-excellence-in-clinical-care-a-pilot-study
#8
Ling-Yu Yang, Chia-Chang Huang, Hui-Chi Hsu, Ying-Ying Yang, Ching-Chi Chang, Chiao-Lin Chuang, Wei-Shin Lee, Jen-Feng Liang, Hao Min Cheng, Chin-Chou Huang, Fa-Yauh Lee, Shung-Tai Ho, Ralph Kirby
BACKGROUND: Clerkship provides a unique way of transferring the knowledge and skills gathered during medical school's curriculum into real-ward clinical care environment. The annual program evaluation has indicated that the training of clerks in diagnostic and clinical reasoning skills needed to be enhanced. Recently, "clinical excellence" program have been promoted in our institution to augment the excellence in clinical care of new clerks. Current study aims to evaluate whether this pilot program improve the "clinical excellence" of new clerks...
January 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/27893952/acceptability-and-impact-of-a-required-palliative-care-rotation-with-prerotation-and-postrotation-observed-simulated-clinical-experience-during-internal-medicine-residency-training-on-primary-palliative-communication-skills
#9
Maxwell T Vergo, Sharona Sachs, Meredith A MacMartin, Kathryn B Kirkland, Amelia M Cullinan, Lisa A Stephens
BACKGROUND: Improving communication training for primary palliative care using a required palliative care rotation for internal medicine (IM) residents has not been assessed. OBJECTIVE: To assess skills acquisition and acceptability for IM residents not selecting an elective. DESIGN: A consecutive, single-arm cohort underwent preobjective structured clinical examination (OSCE) with learner-centric feedback, two weeks of clinical experience, and finally a post-OSCE to crystallize learner-centric take home points...
May 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27813044/-application-of-the-objective-structured-clinical-examination-osce-in-german-medical-schools-an-inventory
#10
S Müller, U Dahmen, U Settmacher
Introduction: The German medical licensing regulations, as amended by the government in 2002, now require the assessment of clinical skills in undergraduate medical education. As a result, the Objective Structured Clinical Examination (OSCE) was introduced as an assessment tool in many medical schools. This article provides a detailed inventory of the current application of the OSCE assessment in Germany. Methods: From June to September 2015, the implementation of the OSCE in all 36 German medical schools was investigated using semi-structured telephone interviews and email correspondence...
November 3, 2016: Das Gesundheitswesen
https://www.readbyqxmd.com/read/27792705/-level-of-clinical-competence-in-seven-cohorts-of-medical-students-at-the-end-of-the-internship
#11
Adrián Martínez-González, Melchor Sánchez-Mendiola, Ignacio Méndez-Ramírez, Juan Andrés Trejo-Mejía
INTRODUCTION: Objective structured clinical examination is the instrument with more validated evidence to assess the degree of clinical competence of medical students. OBJECTIVES: To assess the degree of clinical competence of medical students at the end of their internship; to assess the reliability of the instruments with G theory. METHODS: This was an observational, longitudinal, and comparative study. The target population was composed of 5,399 interns of seven generations that finished their internship at the Faculty of Medicine of UNAM, between 2009 and 2015...
September 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/27700252/done-or-almost-done-improving-osce-checklists-to-better-capture-performance-in-progress-tests
#12
Debra Pugh, Samantha Halman, Isabelle Desjardins, Susan Humphrey-Murto, Timothy J Wood
Construct: The impact of using nonbinary checklists for scoring residents from different levels of training participating in objective structured clinical examination (OSCE) progress tests was explored. BACKGROUND: OSCE progress tests typically employ similar rating instruments as traditional OSCEs. However, progress tests differ from other assessment modalities because learners from different stages of training participate in the same examination, which can pose challenges when deciding how to assign scores...
October 2016: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/27637267/an-objective-structured-clinical-exam-to-measure-intrinsic-canmeds-roles
#13
Aliya Kassam, Michèle Cowan, Tyrone Donnon
BACKGROUND: The CanMEDS roles provide a comprehensive framework to organize competency-based curricula; however, there is a challenge in finding feasible, valid, and reliable assessment methods to measure intrinsic roles such as Communicator and Collaborator. The objective structured clinical exam (OSCE) is more commonly used in postgraduate medical education for the assessment of clinical skills beyond medical expertise. METHOD: We developed the CanMEDS In-Training Exam (CITE), a six-station OSCE designed to assess two different CanMEDS roles (one primary and one secondary) and general communication skills at each station...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27540487/using-low-cost-android-tablets-and-instructional-videos-to-teach-clinical-skills-to-medical-students-in-kenya-a-prospective-study
#14
James O'Donovan, Roy Ahn, Brett D Nelson, Calvin Kagan, Thomas F Burke
OBJECTIVES: To assess the feasibility and impact of using a low-cost Android tablet to deliver clinical skills training to third-year medical students in Kenya. DESIGN: A prospective study using a low cost tablet called 'connecTAB', which was designed and manufactured specifically for areas with low bandwidth. Instructional video tutorials demonstrating techniques of cardiovascular and abdominal clinical examinations were pre-loaded onto the tablet. SETTING: Maseno University School of Medicine, Western Kenya...
August 2016: JRSM Open
https://www.readbyqxmd.com/read/27507540/lifestyle-medicine-curriculum-for-a-preventive-medicine-residency-program-implementation-and-outcomes
#15
Haq Nawaz, Paul V Petraro, Christina Via, Saif Ullah, Lionel Lim, Dorothea Wild, Mary Kennedy, Edward M Phillips
BACKGROUND: The vast majority of the healthcare problems burdening our society today are caused by disease-promoting lifestyles (e.g., physical inactivity and unhealthy eating). Physicians report poor training and lack of confidence in counseling patients on lifestyle changes. OBJECTIVE: To evaluate a new curriculum and rotation in lifestyle medicine for preventive medicine residents. METHODS: Training included didactics (six sessions/year), distance learning, educational conferences, and newly developed lifestyle medicine rotations at the Institute of Lifestyle Medicine, the Yale-Griffin Prevention Research Center, and the Integrative Medicine Center...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27438976/development-of-skills-to-utilize-point-of-care-ultrasonography-in-nephrology-practice
#16
Aida Aguilar Nunes, José Muniz Pazeli Júnior, Anderson Tavares Rodrigues, Ana Luisa Silveira Vieira Tollendal, Oscarina da Silva Ezequiel, Fernando Antonio Basile Colugnati, Marcus Gomes Bastos
INTRODUCTION: The use of ultrasonography (US) by non-radiologists has increased due to the need of physicians to integrate "new" clinical information into the diagnostic process. A defined and validated ultrasound training program has not been established in Nephrology. This study aimed to present the results of assessment of the development of skills to utilize point-of-care ultrasonography (POCUS) in Nephrology practice. METHODS: Nine residents, four from Nephrology and five from internal medicine program, attended a 16-hour course that covered theoretical and practical aspects of ultrasonography...
June 2016: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
https://www.readbyqxmd.com/read/27413444/effectiveness-of-an-interprofessional-and-multidisciplinary-musculoskeletal-training-program
#17
Michael J Battistone, Andrea M Barker, Marissa P Grotzke, J Peter Beck, Jeffery T Berdan, Jorie M Butler, Caroline K Milne, Tim Huhtala, Grant W Cannon
BACKGROUND: Musculoskeletal (MSK) problems are common, and a recent US Bone and Joint Initiative calls for new models of education and professional collaboration. Evidence of feasibility and acceptability of innovative methods are needed. OBJECTIVE: We assessed if an experimental immersion interdisciplinary MSK curriculum would be acceptable to residents from different specialties, be feasible within existing rotations, and be effective in strengthening clinical skills...
July 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27413443/improving-residents-safe-opioid-prescribing-for-chronic-pain-using-an-objective-structured-clinical-examination
#18
Daniel P Alford, Brittany L Carney, Belle Brett, Sharon J Parish, Angela H Jackson
BACKGROUND: Internal medicine residents care for a sizable number of patients with chronic pain. Programs need educational strategies to promote safe opioid prescribing. OBJECTIVE: To describe a safe opioid prescribing education program utilizing an objective structured clinical examination (OSCE) and report the resulting impact on residents' knowledge, confidence, and self-reported practices. METHODS: Using a quasi-experimental design, 39 internal medicine residents from an urban academic medical center were assigned to 1 of 4 groups: 1-hour lecture only, lecture followed by immediate OSCE, lecture followed by 4-month delayed OSCE, and control...
July 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27412296/family-medicine-resident-osces-a-systematic-review
#19
Dennis Kreptul, Roger E Thomas
BACKGROUND AND OBJECTIVES: Family Medicine trainees are often assessed in Objective Structured Clinical Examinations (OSCEs). The purpose of this survey is to document the quality in terms of psychometrics and standard setting of OSCEs as used in Family Practice (FP)/General Practice (GP) training programs. METHODS: Nine electronic data bases were searched from inception to December 2015 and included articles were searched in the PubMed single citation matcher. Two authors independently assessed all titles/abstracts/full texts and abstracted data...
November 2016: Education for Primary Care
https://www.readbyqxmd.com/read/27340087/does-student-performance-on-preclinical-osces-relate-to-clerkship-grades
#20
Margot Chima, Gary Beck Dallaghan
BACKGROUND: Objective structured clinical examinations (OSCEs) have been used to assess the clinical competence and interpersonal skills of healthcare professional students for decades. However, the relationship between preclinical (second year or M2) OSCE grades and clerkship performance had never been evaluated, until it was explored to provide information to educators at the University of Nebraska Medical Center (UNMC). In addition, the relationship between M2 OSCE communication scores (which is a portion of the total score) and third-year (M3) Internal Medicine (IM) clerkship OSCE scores was also explored...
2016: Medical Education Online
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