a step by_step_guide_to_mastering_the_osc_es
TRANSCRIPT
A Step By Step Guide To Mastering the OSCEs
and Patient Encounters
The Systematic Approach
Dr Al Imari, MD
www.OSCEhome.com
Objective Structured Clinical Examination
• Medical authorities & faculties started to implement the OSCE exams for clinical and communication skills assessment of medical students, clerks, interns, residents, and graduates since the 1980s.
• It is a standardized method of clinical evaluation that eliminates bias.
www.OSCEhome.com
Objective Structured Clinical Examination
• OSCE is a form of performance-based testing used to measure candidates’ clinical competency.
• During an OSCE, candidates are observed and evaluated as they go through a series of stations in which they interview, examine and treat standardized patients (SP) who present with some type of a medical problem.
www.OSCEhome.com
Objective Structured Clinical Examination
• “The OSCE is an approach to the assessment of clinical competence in which the components of competence are assessed in a planned or structured way with attention being paid to the objectivity of the examination”. Harden, 1988
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Objective Structured Clinical Examination
• “The OSCE examination tests a wide range of skills thus greatly reducing the sampling error. This very significantly improves the reliability of the examination” Harden, 1988.
• “The real power of this type of examination lies in the ability of those responsible for teaching and testing to examine their trainees with imagination and forethought, in a reliable way, in areas seldom or never tested before”. Hart, 2001.
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Objective Structured Clinical Examination
• The curriculum tells the staff what to teach...
• The OSCEs tells the students what to learn !
• And that is the point…. • What OSCE candidates should learn?• What candidates can do rather than what they
know.
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Objective Structured Clinical Examination
• The application of their knowledge rather than the recall of knowledge.
• The ‘WHAT’ to ask and do.• The ‘HOW’ they ask and do.• The ‘WHEN’ they ask and do.• How do they organize themselves.• How do they communicate with patients.
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Objective Structured Clinical Examination
• What are OSCE examiners in medical schools OSCE exams, residency exams, and national OSCE exams are assessing candidates for?
• Sign up for further OSCE preparation info and free report: “Turning competencies into practice” By the American Medical Association Council on Medical Education at www.OSCEhome.com.
www.OSCEhome.com
The Systematic Approach to clinical practice
• Around the same time, early 1980, medical authorities started to endorse the systematic approach to patient encounters to assure a high level of similar medical care to every patient.
• Every healthcare provider will deliver the same Systematic Approach to any patient complaint.
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The Systematic Approach to clinical practice
• The Advanced Trauma Life Support (ATLS) is a training program for doctors and Advanced Practice/Critical Care Paramedics in the management of acute trauma cases, developed by the American College of Surgeons in 1980.
• The program has been adopted worldwide in over 40 countries; its goal is to teach a simplified and standardized approach to trauma patients. Originally designed for emergency situations, ATLS is now widely accepted as the standard of care for initial assessment and treatment in trauma centers.
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The Systematic Approach to clinical practice
• Similarly, Advanced cardiac life support or (ACLS) was developed by American Heart Association, and a similar one by European Resuscitation Council.
• It refers to a set of clinical interventions for the urgent treatment of cardiac arrest and other life threatening medical emergencies, as well as the knowledge and skills to deploy those interventions.
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The Systematic Approach to clinical practiceThe Systematic Approach to clinical practice
• Both ATLS and ACLS follow a step by step systematic approach in which the healthcare provider will follow the SAME way EVERY time in clinical patient emergencies.
• It is focused, yet comprehensive.• It assures that nothing will be missed
regardless of the provider knowledge, clinical competency, stress or exhaustion.
• It is time efficient.
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The Systematic Approach to clinical practice
• Similar systematic approaches were developed for lab procedures and diagnostic medical imaging.
• Screening blood tests implemented.
• Varies guidelines are issued and revised periodically by health authorities.
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The Systematic Approach to The OSCEs
• OSCEhome developed a similar Step By Step Systematic Approach to the OSCEs and patient medical encounters.
• It is similar to ATLS & ACLS structure but for history taking, physical examination, and counseling for any patient complaint.
• It is focused, yet comprehensive.• It is time efficient.
www.OSCEhome.com
The Systematic Approach to The OSCEs
• A Step By Step Guide To Mastering The OSCE and Patient Clinical Encounters integrates both clinical and communication skills in one Systematic Approach.
• Medical students, clerks, interns, residents and graduates can manage patient encounters as if they are on auto-pilot mode.
www.OSCEhome.com
The Systematic Approach to The OSCEs
• Furthermore, it integrate communication skills and dealing with difficult patients.
• In addition o instructing you ‘WHAT’ to do or ask, it also contains carefully phrased questions to be asked in sequence.. The ‘HOW’ and ‘When’.
• It assures all the differentials are covered, even if you forgot or stressed out.
www.OSCEhome.com
The Systematic Approach to The OSCEs
• This assures good organization of the interview.
• It is time efficient by eliminating the need to figuring out the ‘WHAT’, ‘HOW’, and ‘WHEN’ to ask or do.
• The pre-memorized clear question sets minimize patient confusion and interruptions.
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The Systematic Approach to The OSCEs
• Implementing it shows your competency and organization skills.
• It assures patient satisfaction and compliance leaving him with ‘a good doctor’ impression.
• No cultural, language, or ethical conflicts.
www.OSCEhome.com
A Step By Step Guide to The Mastering The OSCEs and Patient Encounters
• Was developed by OSCEhome in 2004.• Already in use by thousands of medical
students, clerks, interns, residents, and graduates.
• Minimizes the needed time to master both clinical skills and communication skills.
• Allows you to practice one system ONCE for all your clinical evaluations and real life patient encounters.
www.OSCEhome.com
A Step By Step Guide to The Mastering The OSCEs and Patient Encounters
www.OSCEhome.com