Modified Objective Structured Clinical Examination for PL-2 Pediatric Residents

Abstract

Abstract Introduction This modified objective structured clinical exam (OSCE) is a medical knowledge assessment tool for pediatric residency training programs which can easily be implemented without the need for a simulation center, ancillary staff, or the use of expensive or technical equipment. The format is case-based, highlighting the importance of clinical application of theoretical knowledge. Methods This resource is administered over two afternoons, which allows half of our class to attend each session without significantly impacting coverage for clinical duties. A block of approximately 3 hours is needed, with 5 minutes allotted for each station. Each resident records his/her responses on the provided answer sheets. Two of the stations are interactive, with faculty or chief residents playing the role of parents and rating the residents on their interactions and knowledge. No other personnel are needed, and additional required supplies are minimal. Results Over 300 residents have completed the examination at our institution since its initiation. The annual average class score over the past 15 years of administration has ranged from 43 to 50 points (with a maximum allowable score of 65 for 13 stations). Discussion Given that the individual questions and their complexity have been modified every 2-3 years based on the program directors' evaluation of the material, it is impossible for us to compare individual years of data. However, residents who achieve low scores on the modified OSCE are encouraged to address their specific deficiencies with a more structured learning plan.

Keywords

• Internship and Residency
• OSCE
• Competency-Based Education
• Pediatrics