direct observation: there is an app for that! aaron w. bernard md nicholas e. kman md
Post on 01-Jan-2016
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Direct Observation: There is an App for That!
Aaron W. Bernard MD
Nicholas E. Kman MD
Douglas A. Rund MD
Sorabh Khandelwal MD
The Ohio State University College of Medicine
1
Background
Direct observation of clinical skills is a critical component of performance assessment.
A portfolio of observations over time can be useful; To better appreciate learner strengths and
weaknesses allowing for accurate feedback. To improve the accuracy of summative assessments.
2
Objective of Innovation
To promote portfolio development and improve assessment accuracy through the creation of a standardized method to document and store observations.
3
Background of Innovation
A working group of clerkship directors was formed and a standardized paper-based form was create to be used across all third and fourth year clerkships.
Weaknesses immediately appreciated regarding the paper based form;1. Availability of form at the time of observation.2. Logistics of keeping track of the forms.3. Sharing of information between clerkships in a timely
and useful manner.
4
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An iPhone/iPod Touch application was created to overcome these challenges.
Prior to an observation, a student can import the demographic information.
DO App
5
Feedback From Students
Positive Students appreciated not having to “find the form.” Students found the application easy to use. They appreciated the ability to review their
observations electronically. One place for all observations. 24 hour access
Negative Some students reported there iPod Touch given to
them during the first year of medical school was broken, lost, or stolen by the fourth year.
11
Feedback From EM Faculty
Positive Drop down checklists easy to use The email option for detailed feedback was
appreciated. Most prefer this to the paper form.
Negative Privacy concerns – text messages to the students
phone during the observation. The faculty needs to inform the patient of what is
being done to prevent the perception of texting during the encounter.
12
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