Teaching the Competencies: Using Objective Structured Clinical Encounters for Gastroenterology Fellows

Bani Chander, Robert Kule, Peter Baiocco, Sita Chokhavatia, Don Kotler, Michael Poles, Sondra Zabar, Colleen Gillespie, Tavinder Ark, Elizabeth Weinshel

Research output: Contribution to journalArticle

Abstract

Background Aims: Objective structured clinical encounters (OSCEs) are used widely to educate and assess the competence of medical students and residents; they generally are absent from fellowship training. The Accreditation Council for Graduate Education has cited OSCEs as a best practice for assessing the 6 core competencies. This article reports on the use of an OSCE to assess the competence of second-year gastroenterology fellows in the difficult-to-assess core competencies: interpersonal and communication skills and professionalism. Methods: We developed a 4-station, faculty-observed OSCE with 4 standardized patients. Information gathering, relationship development, patient education, and counseling skills were assessed. Professionalism skills assessed included obtaining informed consent, delivering bad news, managing difficult situations, and showing interdisciplinary respect. In each station, faculty and standardized patients completed an 18- to 24-item checklist evaluating fellows' performance and provided feedback to the fellows. Nine fellows and 5 faculty from 4 gastroenterology training programs in NYC participated. Results: Fellows and faculty generally highly rated the realism of the OSCE and favorably rated the OSCE for its difficulty and their overall experience. Across all cases, fellows were rated as receiving "well dones" for 56.4% of the communication items (SD, 18.3%) and for 79.1% of the professionalism items (SD, 16.4%). Conclusions: Integrating OSCEs into gastroenterology fellowship training may help enhance communication skills and prepare fellows for dealing with difficult clinical situations and provides mechanisms for constructive feedback. OSCEs developed collaboratively can assist in program self-evaluation and reduce costs by sharing resources, in addition to fulfilling Accreditation Council for Graduate Education mandates.

Original languageEnglish (US)
Pages (from-to)509-514
Number of pages6
JournalClinical Gastroenterology and Hepatology
Volume7
Issue number5
DOIs
StatePublished - May 2009
Externally publishedYes

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Gastroenterology
Teaching
Graduate Education
Accreditation
Communication
Self-Evaluation Programs
Mental Competency
Cost Sharing
Patient Education
Informed Consent
Checklist
Medical Students
Practice Guidelines
Counseling
Education
Professionalism

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

Teaching the Competencies : Using Objective Structured Clinical Encounters for Gastroenterology Fellows. / Chander, Bani; Kule, Robert; Baiocco, Peter; Chokhavatia, Sita; Kotler, Don; Poles, Michael; Zabar, Sondra; Gillespie, Colleen; Ark, Tavinder; Weinshel, Elizabeth.

In: Clinical Gastroenterology and Hepatology, Vol. 7, No. 5, 05.2009, p. 509-514.

Research output: Contribution to journalArticle

Chander, B, Kule, R, Baiocco, P, Chokhavatia, S, Kotler, D, Poles, M, Zabar, S, Gillespie, C, Ark, T & Weinshel, E 2009, 'Teaching the Competencies: Using Objective Structured Clinical Encounters for Gastroenterology Fellows', Clinical Gastroenterology and Hepatology, vol. 7, no. 5, pp. 509-514. https://doi.org/10.1016/j.cgh.2008.10.028
Chander, Bani ; Kule, Robert ; Baiocco, Peter ; Chokhavatia, Sita ; Kotler, Don ; Poles, Michael ; Zabar, Sondra ; Gillespie, Colleen ; Ark, Tavinder ; Weinshel, Elizabeth. / Teaching the Competencies : Using Objective Structured Clinical Encounters for Gastroenterology Fellows. In: Clinical Gastroenterology and Hepatology. 2009 ; Vol. 7, No. 5. pp. 509-514.
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