1. Mapping Direct Observations From Objective Structured Clinical Examinations to the Milestones Across Specialties
- Author
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Deborah Darnley-Fisch, Syed F. Ahsan, Roopina Sangha, Vasilios Moutzouros, Nikhil Goyal, Ann Woodward, Maria Shreve, Laurie Rolland, Kimberly Baker-Genaw, Sean Drake, Maria Kokas, Kedar Inamdar, and Deepak Prabhakar
- Subjects
medicine.medical_specialty ,Michigan ,Social Skills ,03 medical and health sciences ,0302 clinical medicine ,Hospitals, Urban ,Social skills ,medicine ,Humans ,030212 general & internal medicine ,Curriculum ,Medical education ,Physician-Patient Relations ,business.industry ,Communication ,Brief Report ,Internship and Residency ,030208 emergency & critical care medicine ,General Medicine ,Institutional level ,Checklist ,Family medicine ,Clinical Competence ,Clinical competence ,business - Abstract
Little is known about residents' performance on the milestones at the institutional level. Our institution formed a work group to explore this using an institutional-level curriculum and residents' evaluation of the milestones.Background We assessed whether beginner-level milestones for interpersonal and communication skills (ICS) related to observable behaviors in ICS-focused objective structured clinical examinations (OSCEs) for postgraduate year (PGY) 1 residents across specialties.Objective The work group compared ICS subcompetencies across 12 programs to identify common beginner-level physician-patient communication milestones. The selected ICS milestone sets were compared for common language with the ICS-OSCE assessment tool—the Kalamazoo Essential Elements of Communication Checklist–Adapted (KEECC-A). To assess whether OSCE scores related to ICS milestone scores, all PGY-1 residents from programs that were part of Next Accreditation System Phase 1 were identified; their OSCE scores from July 2013 to June 2014 and ICS subcompetency scores from December 2014 were compared.Methods The milestones for 10 specialties and the transitional year had at least 1 ICS subcompetency that related to physician-patient communication. The language of the ICS beginner-level milestones appears similar to behaviors outlined in the KEECC-A. All 60 residents with complete data received at least a beginner-level ICS subcompetency score and at least a satisfactory score on all 3 OSCEs.Results The ICS-OSCE scores for PGY-1 residents appear to relate to beginner-level milestones for physician-patient communication across multiple specialties.Conclusions
- Published
- 2016