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Mapping Direct Observations From Objective Structured Clinical Examinations to the Milestones Across Specialties

Authors :
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
Deepak Prabhakar
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

Details

ISSN :
19498357
Volume :
8
Issue :
3
Database :
OpenAIRE
Journal :
Journal of graduate medical education
Accession number :
edsair.doi.dedup.....f23b3be2e18c5c74fdbc56e7ecf0ab92