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Development and pilot testing of an objective structured clinical examination (OSCE) on hoarseness.

Publication ,  Journal Article
Stewart, CM; Masood, H; Pandian, V; Laeeq, K; Akst, L; Francis, HW; Bhatti, NI
Published in: Laryngoscope
November 2010

OBJECTIVES: To develop a valid and reliable tool for an objective structured clinical examination (OSCE) on hoarseness. To pilot-test the feasibility by assessing residents' clinical skills in various core competencies while assessing hoarseness on a standardized patient (SP). STUDY DESIGN: Educational tool development. METHODS: The OSCE checklists were developed using modified Delphi technique after obtaining feedback from faculty involved in providing care to hoarseness patients. SP-based and rest stations were created to assess clinical skills. Twelve Otolaryngology-Head and Neck Surgery residents participated in the study. Video recordings of residents' performance and their written documentation were rated by faculty members. RESULTS: The OSCE that we developed is a valid method of assessing residents' clinical skills for evaluating hoarseness. Senior residents performed better in all of the tasks such as obtaining history and performing a physical exam on an SP, ability to perform flexible laryngoscopy on a mannequin, and interpretation of radiologic findings. Internal consistency assessed by Cronbach's alpha as measure of inter-item reliability was 0.92 for laryngoscopic station and 0.95 for radiology station. CONCLUSIONS: This OSCE can be effectively used for the objective assessment of clinical competency in hoarseness. Our pilot study evaluated multiple competencies on a single occasion, including medical knowledge, patient care, professionalism, and communication and interpersonal skills. Clinical competence in history taking, physical examination, flexible fiber-optic laryngoscopy, and ability to interpret radiologic findings improved with increasing year of training. This OSCE provides targeted assessment of practice-based learning and feedback for improvement of clinical performance.

Duke Scholars

Published In

Laryngoscope

DOI

EISSN

1531-4995

Publication Date

November 2010

Volume

120

Issue

11

Start / End Page

2177 / 2182

Location

United States

Related Subject Headings

  • Reproducibility of Results
  • Pilot Projects
  • Physical Examination
  • Otorhinolaryngology
  • Nursing Staff, Hospital
  • Medical History Taking
  • Manikins
  • Male
  • Laryngoscopy
  • Internship and Residency
 

Citation

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ICMJE
MLA
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Stewart, C. M., Masood, H., Pandian, V., Laeeq, K., Akst, L., Francis, H. W., & Bhatti, N. I. (2010). Development and pilot testing of an objective structured clinical examination (OSCE) on hoarseness. Laryngoscope, 120(11), 2177–2182. https://doi.org/10.1002/lary.21095
Stewart, C Matthew, Hamid Masood, Vinciya Pandian, Kulsoom Laeeq, Lee Akst, Howard W. Francis, and Nasir I. Bhatti. “Development and pilot testing of an objective structured clinical examination (OSCE) on hoarseness.Laryngoscope 120, no. 11 (November 2010): 2177–82. https://doi.org/10.1002/lary.21095.
Stewart CM, Masood H, Pandian V, Laeeq K, Akst L, Francis HW, et al. Development and pilot testing of an objective structured clinical examination (OSCE) on hoarseness. Laryngoscope. 2010 Nov;120(11):2177–82.
Stewart, C. Matthew, et al. “Development and pilot testing of an objective structured clinical examination (OSCE) on hoarseness.Laryngoscope, vol. 120, no. 11, Nov. 2010, pp. 2177–82. Pubmed, doi:10.1002/lary.21095.
Stewart CM, Masood H, Pandian V, Laeeq K, Akst L, Francis HW, Bhatti NI. Development and pilot testing of an objective structured clinical examination (OSCE) on hoarseness. Laryngoscope. 2010 Nov;120(11):2177–2182.
Journal cover image

Published In

Laryngoscope

DOI

EISSN

1531-4995

Publication Date

November 2010

Volume

120

Issue

11

Start / End Page

2177 / 2182

Location

United States

Related Subject Headings

  • Reproducibility of Results
  • Pilot Projects
  • Physical Examination
  • Otorhinolaryngology
  • Nursing Staff, Hospital
  • Medical History Taking
  • Manikins
  • Male
  • Laryngoscopy
  • Internship and Residency