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Mapping Direct Observations From Objective Structured Clinical Examinations to the Milestones Across Specialties
- Source :
- Journal of graduate medical education. 8(3)
- Publication Year :
- 2016
-
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
- 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
Subjects
Details
- ISSN :
- 19498357
- Volume :
- 8
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of graduate medical education
- Accession number :
- edsair.doi.dedup.....f23b3be2e18c5c74fdbc56e7ecf0ab92