The patient safety OSCE for PGY-1 residents: a centralized response to the challenge of culture change.

Abstract:

BACKGROUND:Accreditation and Institute of Medicine mandates require retooling of graduate medical education curriculum and assessment processes. This Objective Structured Clinical Exam (OSCE) focused on patient safety-specific skills important to stakeholders from multiple institutions. PURPOSES:A 10-station OSCE was designed to assess patient safety-related competencies in new Postgraduate Year 1 (PGY-1) residents. The OSCE emphasized performance of essential skills and teamwork, and it provided early formative feedback to trainees and leadership. METHODS:Group nominal process selected 10 final OSCE stations. Two stations were designed to assess team competencies and response to feedback. Two hundred thirty-five trainees enrolled in 64 programs participated during summer 2006. Skill-set aggregation was employed to improve the validity of individual feedback. RESULTS:Significant performance deficits were noted. Trainee and administrator evaluation of the experience was positive. CONCLUSIONS:Multi-institutional test development and centralized testing was well received and produced worrisome results. Early assessment can guide the development of task-specific personalized learning plans and systemwide curricular improvement. Further research is needed to determine whether such an effort directed at PGY-1 trainees can improve trainee performance and patient safety.

journal_name

Teach Learn Med

authors

Wagner DP,Hoppe RB,Lee CP

doi

10.1080/10401330802573837

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

8-14

issue

1

eissn

1040-1334

issn

1532-8015

pii

907456875

journal_volume

21

pub_type

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