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Implementation Manual for the University of Minnesota Family Conference OSCE: An Assessment of Physicians' Professionalism and Interpersonal and Communication Skills in Discussing “Bad News”
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Implementation Manual for the University of Minnesota Family Conference OSCE: An Assessment of Physicians' Professionalism and Interpersonal and Communication Skills in Discussing “Bad News”

Connie C. Schmitz, Jane Miller, Anne Woll and Jeffrey G. Chipman
MedEdPORTAL, Vol.7, 9015
10/07/2011
DOI: 10.15766/mep_2374-8265.9015
url
https://doi.org/10.15766/mep_2374-8265.9015View
Published (Version of record)Zip file with 19 docx, pptx and pdf files Open Access

Abstract

Introduction: This resource is an objective structured clinical exam (OSCE) developed to assesses physician trainee's interpersonal and communication skills and overall professionalism in delivering bad news. Methods: This OSCE consists of two 20-minute, standardized encounters with simulated family members. One focuses on end-of-life decisions, the other on the disclosure of an iatrogenic complication. Both encounters include two trained standardized patients (SPs) portraying family members, standardized cases, and evaluation rating forms that are completed by the trainee, the SPs, and by two clinical raters. Results: This OSCE has been administered six times to a total of 175 trainees at various levels, including residents in their first, second, third, and fourth years. Results suggest that, assuming standardized settings and training protocols are in place, this OSCE provides reliable assessments suitable for formative evaluation of trainees' interpersonal communication skills and professionalism, as evidenced in two types of difficult conversations in critical care. Discussion: Originally created for training surgical critical care fellows, this resource is one of the few known OSCEs designed to measure interactions with family members, as opposed to patients. We feel this material could also be used with more advanced trainees and as part of faculty development. ****************** Educational Objectives By the end of this resource, learners will be able to: 1. Understand communication behaviors and strategies needed to disclose bad news to families. 2. Understand the skills needed to re-establish family trust following the disclosure of an iatrogenic complication. 3. Understand the skills needed to achieve family engagement in making end-of-life decisions for loved one in a terminal state.

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