Mapping Direct Observations From Objective Structured Clinical Examinations to the Milestones Across Specialties
Recommended Citation
Baker-Genaw K, Kokas MS, Ahsan SF, Darnley-Fisch D, Drake S, Goyal N, Inamdar K, Moutzouros V, Prabhakar D, Rolland L, Sangha R, Shreve M, and Woodward A Mapping Direct Observations From Objective Structured Clinical Examinations to the Milestones Across Specialties J Grad Med Educ 2016; 8(3):429-434
Document Type
Article
Publication Date
7-1-2016
Publication Title
J Grad Med Educ
Abstract
BACKGROUND: 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
OBJECTIVE: 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
METHODS: 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
RESULTS: 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
CONCLUSIONS: The ICS-OSCE scores for PGY-1 residents appear to relate to beginner-level milestones for physician-patient communication across multiple specialties
Medical Subject Headings
Checklist; Clinical Competence; Communication; Curriculum; Hospitals, Urban; Humans; Internship and Residency; Michigan; Physician-Patient Relations; Social Skills
PubMed ID
27413450
Volume
8
Issue
3
First Page
429
Last Page
434