Document Detail


Optimizing the utility of communication OSCEs: Omit station-specific checklists and provide students with narrative feedback.
MedLine Citation:
PMID:  22322068     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate how the utility (reliability, validity, acceptability, feasibility, cost and educational impact) of a communication-OSCE was influenced by whether or not station-specific (StSp) checklists were used together with a generic instrument and whether or not narrative feedback was provided to students. METHODS: At ten stations, faculty members rated standardized patient-student interactions using the Common Ground (CG) instrument (at all stations) and StSp-checklists. Both raters and patients provided written feedback. The impact of changing the design on the various utility parameters was assessed: reliability by means of a generalizability study, cost using the Reznick model and the other utility parameters by means of a survey. RESULTS: Use of the generic instrument (CG) proved more reliable (G coefficient=0.67) than using the StSp-checklists (G=0.47) or both (G=0.65) while there was a high correlation between both scale scores (Pearsons'r=0.86). The cost was 6.5% higher when StSp-checklists were used and 5% higher when narrative feedback was provided. CONCLUSION: The utility of a communication OSCE can be enhanced by omitting StSp-checklists and by providing narrative feedback to students. PRACTICE IMPLICATIONS: The same generic assessment scale can be used in all stations of a communication OSCE. Providing feedback to students is promising but it increases the costs.
Authors:
Marc Van Nuland; Wim Van den Noortgate; Cees van der Vleuten; Goedhuys Jo
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-7
Journal Detail:
Title:  Patient education and counseling     Volume:  -     ISSN:  1873-5134     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of General Practice, Catholic University of Leuven, B-3000 Leuven, Belgium.
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