Format

Send to

Choose Destination
Teach Learn Med. 2009 Jan-Mar;21(1):8-14. doi: 10.1080/10401330802573837.

The patient safety OSCE for PGY-1 residents: a centralized response to the challenge of culture change.

Author information

1
College of Human Medicine, Michigan State University College of Human Medicine, East Lansing, Michigan 48824, USA. wagnerd@msu.edu

Abstract

BACKGROUND:

Accreditation and Institute of Medicine mandates require retooling of graduate medical education curriculum and assessment processes. This Objective Structured Clinical Exam (OSCE) focused on patient safety-specific skills important to stakeholders from multiple institutions.

PURPOSES:

A 10-station OSCE was designed to assess patient safety-related competencies in new Postgraduate Year 1 (PGY-1) residents. The OSCE emphasized performance of essential skills and teamwork, and it provided early formative feedback to trainees and leadership.

METHODS:

Group nominal process selected 10 final OSCE stations. Two stations were designed to assess team competencies and response to feedback. Two hundred thirty-five trainees enrolled in 64 programs participated during summer 2006. Skill-set aggregation was employed to improve the validity of individual feedback.

RESULTS:

Significant performance deficits were noted. Trainee and administrator evaluation of the experience was positive.

CONCLUSIONS:

Multi-institutional test development and centralized testing was well received and produced worrisome results. Early assessment can guide the development of task-specific personalized learning plans and systemwide curricular improvement. Further research is needed to determine whether such an effort directed at PGY-1 trainees can improve trainee performance and patient safety.

PMID:
19130380
DOI:
10.1080/10401330802573837
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Taylor & Francis
Loading ...
Support Center