A Step By Step Guide To Mastering the OSCEs and Patient Encounters The Systematic Approach Dr Al Imari, MD
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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.
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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 st ations in which they interview, examine and treat standardized patients (SP) who present with some type of a medical problem.
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Objective Structured Clinical Examination
“The OSCE OSCE is 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”. examination ”. Harden, 1988
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Objective Structured Clinical Examination
“The OSCE OSCE examin examination ation tests a wide range of skills thus greatly reducing the sampling error. This very significantly improves the reliability of the examination” examination” Harden, 1988.
“The real power of this type of examination lies in the ability of those responsibl r esponsible e for teaching and testing to examine their trainees with imagination imaginat ion and forethought, in a reliable way, in areas seldom or never tested before”. 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 m edical 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.
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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, develope developed d 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 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. c omprehensive.
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 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.
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The Systematic Approach to The OSCEs
A Step By Step Guide To Mastering The T he 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 autopilot mode.
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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.
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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.
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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
