Objective Structured Clinical Exam OSCE By Stephanie Joinvil

Objective Structured Clinical Exam (OSCE) By: Stephanie Joinvil Maimonides Medical Center Mentor: Dr. Lisa Altshuler Co-Mentor: Ibsen Vargas

Vocabulary o o OSCE- Objective Structured Clinical Exam Cultural- relating to the civilization, and achievements of a particular time or people. Competence- ability; adequately qualified or capable Observer- a representative sent to observe but not participate officially in an activity.

What is OSCE? o o OSCE (Objective Structured Clinical Exam) is a growing training program in a number of hospitals. This program was developed to residents the opportunity to practice different situations on real life experiences. It allows for skills practice and feedback.

Maimonides Medical Center o o o Implemented the OSCE program in the Pediatrics Department. Realized there was a growing need for appropriate training models in the area of cultural competence Since 1999 the first formative Culture OSCE at MMC was developed.

Residents o o o Communication OSCE- 1 st year residents Culture OSCE- 2 nd year residents Genetics OSCE- 3 rd year residents

Communication OSCE o o o 1 st year residents Residents are beginning to be in contact with patients. It will offer them practice in communicating with patients.

Culture OSCE o o o 2 nd year residents these residents have some experience with communicating with patients. MMC serves a diverse population. They serve them with respect and understand why they treat them or respond to them in another way.

Genetic OSCE o o 3 rd year resident- Advanced group. Be able to convey genetic information to the public in nontechnical terms. Since genetics is much more complicated it is give to the advanced group. For example explaining Done Syndrome, giving a visual Diagnosis and genetic referrals.

Ethnicity and Religion (Parents’ Report) Child’s Ethnicity Parent’s Religion Muslim 14% Practice Hallal 11% White (Hispanic) 21% Christian White (Non-Hispanic) 56% Asian 11% No Hallal 3% Jewish 41% Kosher home 38% 3% 3% 7% Catholic 35% 4% African-Am. Middle East Indian * Categories used by MMC Other 7% 3% Other Not Kosher

Culture scenario Lost in Translation – addressing the language barrier in a Bengali family where only the father speaks English.

Overall Evaluation of Culture OSCE

Conclusion o o OSCE(Objective Structured Clinical Exam) is a post resident training program which will improve residents performance skills in the office. Improves skilld, gives a more one-on-one interaction, feedback, communication and helps residents acquire th eknowledge that they didn't receive or understand inmedical school.

Bibliography ACGME Outcome Project n http: //www. acgme. org/outcome/comp. Full. asp Accessed from ACGME on Aug 2, 2006 ALTSHULER, L. , Kachur, E. (2001). A Culture OSCE: Teaching residents to bridge different worlds. Academic Medicine, 76, 514. HARDEN, R. M. , STEVENSON, M. , DOWNIE, W. W. , WILSON, G. M. (1975). Assessment of clinical competence using objective structured clinical examinations. British Medical Journal, 1, 447 -51. ALTSHULER, L. , Kachur, E. ( 2004). Cultural competence is everyone's responsibility! Medical Teacher, 26, 101 -5 INSTITUTE OF MEDICINE ( 2002). Unequal treatment: confronting racial and ethnic disparities in healthcare. Washington (DC): National Academy Press. ROBINS, L. S. , WHITE, C. B. , ALEXANDER, G. L. , GRUPPEN, L. C. , GRUM, C. M. (2001). Assessing medical students’ awareness of and sensitivity to diverse health beliefs using a standardized patient station. Academic Medicine, 76 -80. SINGER, P. A. , COHEN, R. , ROBB, A. , ROTHMAN, A. (1993). The ethics objective structured clinical examination. Journal of General Internal Medicine, 81, 23 -8

Acknowledgements o o o Thank you to: Harlem Children Society Internship Program In Science, Medicine, Technology & Allied Sciences Dr. Sat Dr. Lisa Altshuler Ibsen Vargas Everyone in the audience