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A Step By Step Guide To Mastering The OSCEs

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What is the OSCEs and what is the systematic approach for patient clinical encounters.

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A Step By Step Guide To Mastering The OSCEs

  1. 1. A Step By Step Guide To Mastering the OSCEs and Patient Encounters The Systematic Approach Dr Al Imari, MD www.OSCEhome.com
  2. 2. Objective Structured Clinical Examination <ul><li>Medical authorities & faculties started to implement the OSCE exams for clinical and communication skills assessment of medical students, clerks, interns, residents, and graduates since the 1980s. </li></ul><ul><li>It is a standardized method of clinical evaluation that eliminates bias. </li></ul>www.OSCEhome.com
  3. 3. Objective Structured Clinical Examination <ul><li>OSCE is a form of performance-based testing used to measure candidates’ clinical competency.  </li></ul><ul><li>During an OSCE , candidates are observed and evaluated as they go through a series of stations in which they interview, examine and treat standardized patients (SP) who present with some type of a medical problem. </li></ul>www.OSCEhome.com
  4. 4. Objective Structured Clinical Examination <ul><li>“ The OSCE is an approach to the assessment of clinical competence in which the components of competence are assessed in a planned or structured way with attention being paid to the objectivity of the examination ”. Harden, 1988 </li></ul>www.OSCEhome.com
  5. 5. Objective Structured Clinical Examination <ul><li>“ The OSCE examination tests a wide range of skills thus greatly reducing the sampling error. This very significantly improves the reliability of the examination ” Harden, 1988. </li></ul><ul><li>“ The real power of this type of examination lies in the ability of those responsible for teaching and testing to examine their trainees with imagination and forethought, in a reliable way, in areas seldom or never tested before ”. Hart, 2001 . </li></ul>www.OSCEhome.com
  6. 6. Objective Structured Clinical Examination <ul><li>The curriculum tells the staff what to teach ... </li></ul><ul><li>The OSCEs tells the students what to learn ! </li></ul><ul><li>And that is the point…. </li></ul><ul><li>What OSCE candidates should learn? </li></ul><ul><li>What candidates can do rather than what they know. </li></ul>www.OSCEhome.com
  7. 7. Objective Structured Clinical Examination <ul><li>The application of their knowledge rather than the recall of knowledge. </li></ul><ul><li>The ‘WHAT’ to ask and do. </li></ul><ul><li>The ‘HOW’ they ask and do. </li></ul><ul><li>The ‘WHEN’ they ask and do. </li></ul><ul><li>How do they organize themselves. </li></ul><ul><li>How do they communicate with patients. </li></ul>www.OSCEhome.com
  8. 8. Objective Structured Clinical Examination <ul><li>What are OSCE examiners in medical schools OSCE exams, residency exams, and national OSCE exams are assessing candidates for? </li></ul><ul><li>Sign up for further OSCE preparation info and free report: “Turning competencies into practice” By the American Medical Association Council on Medical Education at www.OSCEhome.com. </li></ul>www.OSCEhome.com
  9. 9. The Systematic Approach to clinical practice <ul><li>Around the same time, early 1980, medical authorities started to endorse the systematic approach to patient encounters to assure a high level of similar medical care to every patient. </li></ul><ul><li>Every healthcare provider will deliver the same Systematic Approach to any patient complaint. </li></ul>www.OSCEhome.com
  10. 10. The Systematic Approach to clinical practice <ul><li>The Advanced Trauma Life Support (ATLS) is a training program for doctors and Advanced Practice/Critical Care Paramedics in the management of acute trauma cases, developed by the American College of Surgeons in 1980. </li></ul><ul><li>The program has been adopted worldwide in over 40 countries; its goal is to teach a simplified and standardized approach to trauma patients. Originally designed for emergency situations, ATLS is now widely accepted as the standard of care for initial assessment and treatment in trauma centers. </li></ul>www.OSCEhome.com
  11. 11. The Systematic Approach to clinical practice <ul><li>Similarly, Advanced cardiac life support or ( ACLS ) was developed by American Heart Association, and a similar one by European Resuscitation Council. </li></ul><ul><li>It refers to a set of clinical interventions for the urgent treatment of cardiac arrest and other life threatening medical emergencies, as well as the knowledge and skills to deploy those interventions. </li></ul>www.OSCEhome.com
  12. 12. The Systematic Approach to clinical practice The Systematic Approach to clinical practice <ul><li>Both ATLS and ACLS follow a step by step systematic approach in which the healthcare provider will follow the SAME way EVERY time in clinical patient emergencies. </li></ul><ul><li>It is focused, yet comprehensive. </li></ul><ul><li>It assures that nothing will be missed regardless of the provider knowledge, clinical competency, stress or exhaustion. </li></ul><ul><li>It is time efficient. </li></ul>www.OSCEhome.com
  13. 13. The Systematic Approach to clinical practice <ul><li>Similar systematic approaches were developed for lab procedures and diagnostic medical imaging. </li></ul><ul><li>Screening blood tests implemented. </li></ul><ul><li>Varies guidelines are issued and revised periodically by health authorities. </li></ul>www.OSCEhome.com
  14. 14. The Systematic Approach to The OSCEs <ul><li>OSCEhome developed a similar Step By Step Systematic Approach to the OSCEs and patient medical encounters. </li></ul><ul><li>It is similar to ATLS & ACLS structure but for history taking, physical examination, and counseling for any patient complaint. </li></ul><ul><li>It is focused, yet comprehensive. </li></ul><ul><li>It is time efficient. </li></ul>www.OSCEhome.com
  15. 15. The Systematic Approach to The OSCEs <ul><li>A Step By Step Guide To Mastering The OSCE and Patient Clinical Encounters integrates both clinical and communication skills in one Systematic Approach. </li></ul><ul><li>Medical students, clerks, interns, residents and graduates can manage patient encounters as if they are on auto-pilot mode. </li></ul>www.OSCEhome.com
  16. 16. The Systematic Approach to The OSCEs <ul><li>Furthermore, it integrate communication skills and dealing with difficult patients. </li></ul><ul><li>In addition o instructing you ‘WHAT’ to do or ask, it also contains carefully phrased questions to be asked in sequence.. The ‘HOW’ and ‘When’. </li></ul><ul><li>It assures all the differentials are covered, even if you forgot or stressed out. </li></ul>www.OSCEhome.com
  17. 17. The Systematic Approach to The OSCEs <ul><li>This assures good organization of the interview. </li></ul><ul><li>It is time efficient by eliminating the need to figuring out the ‘WHAT’, ‘HOW’, and ‘WHEN’ to ask or do. </li></ul><ul><li>The pre-memorized clear question sets minimize patient confusion and interruptions. </li></ul>www.OSCEhome.com
  18. 18. The Systematic Approach to The OSCEs <ul><li>Implementing it shows your competency and organization skills. </li></ul><ul><li>It assures patient satisfaction and compliance leaving him with ‘a good doctor’ impression. </li></ul><ul><li>No cultural, language, or ethical conflicts. </li></ul>www.OSCEhome.com
  19. 19. A Step By Step Guide to The Mastering The OSCEs and Patient Encounters <ul><li>Was developed by OSCEhome in 2004. </li></ul><ul><li>Already in use by thousands of medical students, clerks, interns, residents, and graduates. </li></ul><ul><li>Minimizes the needed time to master both clinical skills and communication skills. </li></ul><ul><li>Allows you to practice one system ONCE for all your clinical evaluations and real life patient encounters. </li></ul>www.OSCEhome.com
  20. 20. A Step By Step Guide to The Mastering The OSCEs and Patient Encounters www.OSCEhome.com

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