Objective Structured Clinical Exam (OSCE)

By: Stephanie JoinvilMaimonides Medical CenterMentor: Dr. Lisa AltshulerCo-Mentor: Ibsen Vargas

Vocabulary

OSCE- Objective Structured Clinical Exam Cultural- relating to the civilization, and achievements of

a particular time or people.

Competence- ability; adequately qualified or capable Observer- a representative sent to observe but not

participate officially in an activity.

What is OSCE? OSCE (Objective Structured Clinical Exam) is a growing

training program in a number of hospitals. This program was developed to residents the opportunity to practice different situations on real life experiences.

It allows for skills practice and feedback.

Maimonides Medical Center Implemented the OSCE program in the Pediatrics

Department. Realized there was a growing need for appropriate

training models in the area of cultural competence Since 1999 the first formative Culture OSCE at MMC was

developed.

Residents Communication OSCE- 1st year residents Culture OSCE- 2nd year residents Genetics OSCE- 3rd year residents

Communication OSCE

1st year residents Residents are beginning to be in contact with patients. It will offer them practice in communicating with

patients.

Culture OSCE 2nd year residents these residents have some experience with

communicating with patients. MMC serves a diverse population. They serve them with

respect and understand why they treat them or respond to them in another way.

Genetic OSCE 3rd year resident- Advanced group. Be able to convey genetic information to the public in

nontechnical terms. Since genetics is much more complicated it is give to the

advanced group. For example explaining Done Syndrome, giving a visual

Diagnosis and genetic referrals.

Ethnicity and Religion

(Parents’ Report)

Other

White (Non-Hispanic)

56%

African-Am.

3%

* Categories used by MMC

Jewish41%

Other7%

Christian

Catholic35%

Muslim 14%

PracticeHallal 11%

3%

7%

Middle East

Indian

4%

Asian 11%

White(Hispanic)

21%

Child’s Ethnicity Parent’s Religion

Kosher home38%

3%

Not Kosher

No Hallal

3%

Culture scenario

Lost in Translation – addressing the language barrier in a Bengali family where only the father speaks English.

Overall Evaluation of Culture OSCE

6%

33%

60%

6%

37%

53%

8%

22%

65%

14%

37%

45%

0%10%20%30%40%50%60%70%80%90%

100%

DefinitelyMaybeDefinitely Not

Overall Evaluation of

Culture OSCE

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N = 41

Conclusion OSCE(Objective Structured Clinical Exam) is a post

resident training program which will improve residents performance skills in the office.

Improves skilld, gives a more one-on-one interaction, feedback, communication and helps residents acquire th eknowledge that they didn't receive or understand inmedical school.

BibliographyACGME Outcome Project http://www.acgme.org/outcome/comp/compFull.asp Accessed from ACGME on Aug

2, 2006ALTSHULER, L., Kachur, E. (2001). A Culture OSCE: Teaching residents to bridge different

worlds. Academic Medicine, 76, 514.HARDEN, R.M., STEVENSON, M., DOWNIE, W.W., WILSON, G. M . (1975). Assessment of

clinical competence using objective structured clinical examinations. British Medical Journal, 1, 447-51.

ALTSHULER, L., Kachur, E. ( 2004). Cultural competence is everyone's responsibility! Medical Teacher, 26, 101-5

INSTITUTE OF MEDICINE ( 2002). Unequal treatment: confronting racial and ethnic disparities in healthcare. Washington (DC): National Academy Press.

ROBINS,L.S., WHITE, C.B., ALEXANDER, G.L., GRUPPEN, L.C., GRUM, C.M. (2001). Assessing medical students’ awareness of and sensitivity to diverse health beliefs using a standardized patient station. Academic Medicine, 76, 76-80.

SINGER, P.A., COHEN, R., ROBB, A., ROTHMAN, A. (1993). The ethics objective structured clinical examination. Journal of General Internal Medicine, 81, 23-8

Acknowledgements Thank you to: Harlem Children Society Internship Program In Science,

Medicine, Technology & Allied Sciences Dr. Sat Dr. Lisa Altshuler Ibsen Vargas Everyone in the audience