Creating, monitoring, and improving a psychiatry OSCE: a guide for faculty.
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Biomedical subjects
Publications and source records attributed to Brian Hodges.
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BACKGROUND: Our psychiatric Objective Structured Clinical Examination (OSCE) group wishes to develop adolescent psychiatry OSCE stations. The literature regarding adolescent standardized patient (SP) selection methods and simulation effects, however, offered limited assurance that such adolescents would not experience adverse simulation effects. PURPOSE: Evaluation of adolescent SP selection methods and simulation effects for low- and high-stress roles. METHOD: A two-component (employment-psychological) SP selection method was used. Carefully selected SPs were assigned across three conditions: low-stress medical role, high-stress psychosocial role, and wait list control. Qualitative and quantitative measures were used to assess simulation effects. RESULTS: Our selection method excluded 21% (7% employment and 14% psychological) of SP applicants. For SP participants, beneficial effects included acquisition of job skills and satisfaction in making an important contribution to society. SP reactions of discomfort to roles were reported. Long-term adverse effects were not identified. CONCLUSIONS: A two-component adolescent SP selection method is recommended. Adolescent SP benefits outweigh risks.
OBJECTIVE: In the United Kingdom (UK), an objective structured clinical examination (OSCE) has replaced the individual patient assessment (IPA) for part 1 of the membership examination of the Royal College of Psychiatrists (MRCPsych). The authors' assessment of the OSCE was conducted. METHOD: Residents completed and evaluated an OSCE designed according to guidelines set by the Royal College of Psychiatrists. RESULTS: These residents considered the OSCE fair (86%) and appropriate (89%) in assessing clinical ability. They believed that the OSCE reflected the skills required in clinical practice and found it preferable to the IPA. CONCLUSION: The OSCE received positive evaluation from residents.