Modified Objective Structured Clinical Examinations for PL-3 Pediatric Residents

Abstract

Abstract Introduction Objective structured clinical examinations (OSCEs) have traditionally been used by medical schools and residency training programs to assess baseline knowledge. Most OSCEs include complex stations and the use of standardized patients. Our objective was to create a medical knowledge assessment tool for pediatric residency training programs that could be easily implemented without the need for a simulation center, ancillary staff, or the use of expensive or technical equipment. Methods This PL-3 (or PGY-3) modified OSCE for consists of a 15-station, 59-question written exam that includes free-text responses to brief clinical scenarios, interpretation of X-rays and other visual images, and one interactive station. The format is case based, highlighting the importance of clinical application of theoretical knowledge. Results More than 300 PL-3 residents have completed the examination in the 16 years since initiation. Surveys of residents have revealed that the exercise is extremely educational and that the subsequent discussions foster a positive learning environment. Discussion This modified OSCE adds to the body of literature on OSCEs and related assessment tools by providing educators with an assessment tool that is easily adaptable and effectively addresses one of the critique of OSCEs, that they are traditionally resource intensive.

Keywords

• OSCE
• Objective Structured Clinical Examination
• Pediatrics
• Assessment Tool