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Improved detection of patient centeredness in objective structured clinical examinations through authentic scenario design

Title
Improved detection of patient centeredness in objective structured clinical examinations through authentic scenario design
Author
박훈기
Keywords
Authenticity; Measure of patient centered; communication; Objective structured clinical examination; Patient centeredness; Standardized patient
Issue Date
2020-10
Publisher
ELSEVIER IRELAND LTD
Citation
PATIENT EDUCATION AND COUNSELING, v. 104, no. 5, page. 1094-1099
Abstract
Objective: In current objective structured clinical examinations (OSCEs), simulated encounters lacking realism reduce authenticity of assessment as students can take the OSCEs with a search-and-scan approach and trained empathy. Accordingly, patient-centeredness, the fundamental goal of OSCE, is not well assessed. This study evaluated the effect of a change in the OSCE scenario and checklist with respect to detecting students' patient-centeredness. Methods: A scenario script for valid representation of a real clinical encounter was developed and defined as authenticated scenario. The OSCE scores and the measure of patient-centered communication (MPCC) scores of 79 medical students were compared between the two OSCE stations, one using the traditional scenario and another using the authenticated scenario. Results: The MPCC total score was higher in the OSCE station using the authenticated scenario than that of the traditional scenario (p < 0.001). For the OSCE scores, the patient satisfaction score and the patient physician interaction score were higher in the station using the authenticated scenario than the traditional one (p < 0.001). Conclusion: The OSCE station using the authenticated scenario better detected medical student level of patient-centeredness. Practice implications: Strengthening the authenticity of the OSCE scenario is critical for detecting the medical students' levels of patient-centeredness.
URI
https://www.sciencedirect.com/science/article/pii/S0738399120305516?via%3Dihubhttps://repository.hanyang.ac.kr/handle/20.500.11754/171849
ISSN
0738-3991; 1873-5134
DOI
10.1016/j.pec.2020.10.016
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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