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- W3188763456 abstract "Objective: Ascertain the value of actor/patient scoring in medical student assessment. Background: Traditionally, student Observed Structured Clinical Examinations (OSCEs) are assessed solely by senior clinicians, with patients/actors not contributing formally to student grades. The extent to which patients understand instructions and/or feel comfortable with the comportment of students in conducting the OSCE task is often overlooked. Clinical Neurology at Oxford Medical School is part of an 8-week module culminating in an OSCE where students are exposed to six-minute stations that assess various domains, including history, neurological examination, and interpretation/explanation of investigations. These stations all contain an actor/patient alongside a clinician examiner. Hypothesis: Inclusion of actor/patient scores in OSCEs provide valuable insight into the professionalism of students not captured by clinician examiners. Design/Methods: During the 2018–19 academic year, both clinician examiners and patients/actors independently recorded numeric scores (4-point scale; 1-clear fail; 2-borderline fail; 3-clear pass; 4-above expected) and comments for each student passing through the station. Quantitative and qualitative analyses of the numeric scores and written comments, respectively, were undertaken. Results: A total of 162 students undertook the OSCE. Overall, no difference in examiner and actor/patient scores was observed across the OSCE assessment domains. However, discrepant scores between examiners and actors/patients (i.e. pass (3 or 4) versus fail (1 or 2)), tended to occur in stations where communication is an essential component of the station (i.e. history or interpretation/explanation of investigations). On preliminary analysis, examiner comments focussed on diagnosis and management whereas actor/patient comments focussed on clarity of language, communication style, and professionalism. Formal thematic analyses of comments from both clinician and actor/patient examiners is ongoing with results soon to be available. Conclusions: Preliminary analyses suggest that actor/patient scoring in neurology OSCE stations adds a valuable dimension to the assessment of communication and professionalism of medical students that may not be captured in clinician scoring alone. Disclosure: Dr. Hadley has nothing to disclose. Dr. De Luca has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Travel: Bay Schering, Biogen Idec, Genzyme, Merck Serono and Nova. Dr. De Luca has received research support from Merck Serono Grant for Multiple Sclerosis Innovation." @default.
- W3188763456 created "2021-08-16" @default.
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- W3188763456 date "2020-04-14" @default.
- W3188763456 modified "2023-09-25" @default.
- W3188763456 title "Actor and Patient Scoring in Neurology OSCEs: A Valuable Dimension in the Assessment of Communication Skills and Professionalism of Medical Students. (4061)" @default.
- W3188763456 hasPublicationYear "2020" @default.
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