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internal medicine osce

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
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
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
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
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
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
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
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...
July 13, 2016: Education for Primary Care
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
Sarang Kim, Laura R Willett, Helaine Noveck, Manish S Patel, John A Walker, Carol A Terregino
PROBLEM: Direct observation of medical students performing clinical tasks, such as eliciting a patient history or examining a patient, and the provision of feedback, are foundational to student improvement but have been reported to occur infrequently. The mini clinical evaluation exercise (mini-CEX) is a tool that can facilitate direct observation and feedback. This study assessed the impact of a mini-CEX requirement across all 3rd-year clerkships on student report of direct observation by faculty and objectively measured clinical skills...
May 4, 2016: Teaching and Learning in Medicine
Omer Abdelgadir Elfaki, Suliman Al-Humayed
The aim of this study was to explore the students' acceptance of Objective Structured Clinical Examination (OSCE) as a method of assessment of clinical competence in internal medicine. This cross sectional study was conducted from June to August 2013, at King Khalid University, Abha, KSA, through a self-administered questionnaire which was completed by fourth year medical students, immediately after the OSCE. Student feedback confirmed their acceptance of OSCE. This was encouraging to the department to consider implementing OSCE for graduating students...
February 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Jeffrey S Wilkinson, Walid Barake, Chris Smith, Amar Thakrar, Amer M Johri
Advances in ultrasonographic technology have allowed for hand-held cardiac ultrasonography (HHCU) units that fit into a physician's laboratory coat. Recently, studies to educate internal medicine residents have shown promise. The optimal duration and methodology for teaching HHCU skills has not been established. Over a 1-year period, internal medicine residents were recruited during their cardiology ward rotation into a single-centre nonblinded randomized trial. The 2 condensed teaching strategies were (1) a conventional ward-based program and (2) a technology-driven simulation-based strategy...
August 2016: Canadian Journal of Cardiology
Martin Perrig, Christoph Berendonk, Anja Rogausch, Christine Beyeler
BACKGROUND: The discrepancy between the extensive impact of musculoskeletal complaints and the common deficiencies in musculoskeletal examination skills lead to increased emphasis on structured teaching and assessment. However, studies of single interventions are scarce and little is known about the time-dependent effect of assisted learning in addition to a standard curriculum. We therefore evaluated the immediate and long-term impact of a small group course on musculoskeletal examination skills...
2016: BMC Medical Education
Susan Humphrey-Murto, Marika Mihok, Debra Pugh, Claire Touchie, Samantha Halman, Timothy J Wood
THEORY: The move to competency-based education has heightened the importance of direct observation of clinical skills and effective feedback. The Objective Structured Clinical Examination (OSCE) is widely used for assessment and affords an opportunity for both direct observation and feedback to occur simultaneously. For feedback to be effective, it should include direct observation, assessment of performance, provision of feedback, reflection, decision making, and use of feedback for learning and change...
2016: Teaching and Learning in Medicine
De-Cheng Tsai, Meng-Chieh Liu, Yi-Reng Lin, Mei-Fang Huang, Shih-Shin Liang
Garlic (Allium sativum) is a long-cultivated plant that is widely utilized in cooking and has been employed as a medicine for over 4000 years. In this study, we fabricated standards and internal standards (ISs) for absolute quantification via reductive amination with isotopic formaldehydes. Garlic has four abundant organosulfur compounds (OSCs): S-allylcysteine, S-allylcysteinine sulfoxide, S-methylcysteine, and S-ethylcysteine are abundant in garlic. OSCs with primary amine groups were reacted with isotopic formaldehydes to synthesize ISs and standards...
April 15, 2016: Food Chemistry
Andreas Möltner, Sevgi Tımbıl, Jana Jünger
OBJECTIVE: The decision having the most serious consequences for a student taking an assessment is the one to pass or fail that student. For this reason, the reliability of the pass/fail decision must be determined for high quality assessments, just as the measurement reliability of the point values. Assessments in a particular subject (graded course credit) are often composed of multiple components that must be passed independently of each other. When "conjunctively" combining separate pass/fail decisions, as with other complex decision rules for passing, adequate methods of analysis are necessary for estimating the accuracy and consistency of these classifications...
2015: GMS Zeitschrift Für Medizinische Ausbildung
Achim Hochlehnert, Jobst-Hendrik Schultz, Andreas Möltner, Sevgi Tımbıl, Konstantin Brass, Jana Jünger
BACKGROUND: Objective Structured Clinical Examinations (OSCEs) often involve a considerable amount of resources in terms of materials and organization since the scores are often recorded on paper. Computer-assisted administration is an alternative with which the need for material resources can be reduced. In particular, the use of tablets seems sensible because these are easy to transport and flexible to use. AIM: User acceptance concerning the use of tablets during OSCEs has not yet been extensively investigated...
2015: GMS Zeitschrift Für Medizinische Ausbildung
Aisha M Al-Osail, Mona H Al-Sheikh, Emad M Al-Osail, Mohannad A Al-Ghamdi, Abdulaziz M Al-Hawas, Abdullah S Al-Bahussain, Ahmed A Al-Dajani
BACKGROUND: The number of medical students accepted into medical programs is increasing, which has made the traditional long/short case style of examination difficult to conduct. At Dammam University, the program is shifting to the use of the Objective Structural Clinical Examination (OSCE), which may solve some of these difficulties, including issues with reliability, validity index and exam duration. RESULTS: A pilot study was conducted over one semester. A total of 207 examinees in three groups took the OSCE and written exams...
2015: BMC Research Notes
Aliya Kassam, Tyrone Donnon, Michèle Cowan, Joanne Todesco
BACKGROUND: In this brief report, we describe two ways in which we assessed the Scholar CanMEDS role using a method to measure residents' ability to complete a critical appraisal. These were incorporated into a modified OSCE format where two stations consisted of 1) critically appraising an article and 2) critiquing an abstract. METHOD: Residents were invited to participate in the CanMEDS In-Training Exam (CITE) through the Office of Postgraduate Medical Education...
2013: Canadian Medical Education Journal
Alan Thomson, Dwight Harley, Marie Cave, Jean Clandinin
BACKGROUND: Narrative Reflective Practice (NRP) is a process that helps medical students become better listeners and physicians. We hypothesized that NRP would enhance students' performance on multiple-choice question exams (MCQs), on objective structured clinical examinations (OSCEs), and on subjective clinical evaluations (SCEs). METHODS: The MCQs, OSCEs and SCEs test scores from 139 third year University of Alberta medical students from the same class doing their Internal Medicine rotation were collected over a 12 month period...
2013: Canadian Medical Education Journal
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