scholarly journals The use of a formative OSCE to prepare emergency medicine residents for summative OSCEs: a mixed-methods cohort study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Magdalene Hui Min Lee ◽  
Dong Haur Phua ◽  
Kenneth Wei Jian Heng
Keyword(s):  
Emergency Medicine ◽  
Cohort Study ◽  
Mixed Methods ◽  
Objective Structured Clinical Examination ◽  
Training Effect ◽  
High Stake ◽  
National Healthcare ◽  
Residency Programme ◽  
Training Programmes

Abstract Background The objective structured clinical examination (OSCE) is a part of emergency medicine (EM) examinations such as the Masters of Medicine in Emergency Medicine (MMed) examination and the equivalent Member of the Royal College of Emergency Medicine (MRCEM) examination. The use of formative OSCEs to prepare EM residents for summative OSCEs has not been investigated. This study aimed to evaluate the role of formative OSCEs in preparing EM residents for the MMed and MRCEM OSCE. Methods This was an observational, retrospective, mixed-methods cohort study. We analysed data from formative OSCEs conducted by the National Healthcare Group EM residency programme from 2013 to 2019, and from a questionnaire distributed to all residents during the study period. Residents’ formative OSCE participation and scores were compared with first-attempt summative OSCE success. Qualitative analysis of residents’ opinions on the usefulness of the formative OSCE was performed. Results Forty-three of the 50 (86.0%) residents attended at least one formative OSCE. Of the 46 who responded to the questionnaire, 40 (87.0%) had attempted and succeeded in the MMed or MRCEM OSCE, of whom 35 (87.5%) had succeeded on the first attempt. Residents who succeeded in the summative OSCE on the first attempt tended to have higher proximate (mean = 70.6, SD = 8.9 vs mean = 64.3, SD = 10.8) and mean (mean = 67.4, SD = 7.1 vs mean = 62.8, SD = 7.3) formative OSCE scores. All 8/40 (20.0%) residents who attended more than three formative OSCEs succeeded in the summative OSCE on their first attempt. Residents’ formative OSCE scores tended to improve with successive formative OSCEs, demonstrating a positive training effect. All residents felt that the formative OSCE was useful in preparing them for the summative OSCE. Conclusions Participation in multiple formative OSCEs was beneficial in preparing residents for the summative OSCE. The formative OSCE was useful in familiarising residents with the examination, giving them an opportunity to perform in near-examination conditions, and providing feedback to residents and faculty about their progress. Our findings may support the implementation of formative OSCEs in other training programmes to prepare learners for high-stake summative OSCEs.

scholarly journals The Use of a Formative OSCE to Prepare Emergency Medicine Residents for Summative OSCEs: A Mixed-Methods Cohort Study

2021 ◽  
Author(s):  
Magdalene Hui Min Lee ◽  
Dong Haur Phua ◽  
Kenneth Wei Jian Heng
Keyword(s):  
Emergency Medicine ◽  
Cohort Study ◽  
Mixed Methods ◽  
Objective Structured Clinical Examination ◽  
Training Effect ◽  
High Stake ◽  
National Healthcare ◽  
Residency Programme ◽  
Training Programmes

Abstract BackgroundThe objective structured clinical examination (OSCE) is a part of Emergency Medicine (EM) examinations such as the Masters of Medicine in Emergency Medicine (MMed) examination and the equivalent Member of the Royal College of Emergency Medicine (MRCEM) examination. The use of formative OSCEs to prepare EM residents for summative OSCEs has not been investigated. This study aimed to evaluate the role of formative OSCEs in preparing EM residents for the MMed and MRCEM OSCE.MethodsThis was an observational, retrospective, mixed-methods cohort study. We analysed data from formative OSCEs conducted by the National Healthcare Group EM residency programme from 2013 to 2019, and from a questionnaire distributed to all residents during the study period. Residents’ formative OSCE participation and scores were compared with first-attempt summative OSCE success. Qualitative analysis of residents’ opinions on the usefulness of the formative OSCE was performed.Results43/50 (86.0%) residents attended at least one formative OSCE. Of the 46 who responded to the questionnaire, 40 (87.0%) had attempted and succeeded in the MMed or MRCEM OSCE, of whom 35 (87.5%) had succeeded on the first attempt. Residents who succeeded in the summative OSCE on the first attempt tended to have higher proximate (mean = 70.6, SD = 8.9 vs mean = 64.3, SD = 10.8) and mean (mean = 67.4, SD = 7.1 vs mean = 62.8, SD = 7.3) formative OSCE scores. All 8/40 (20.0%) residents who attended more than three formative OSCEs succeeded in the summative OSCE on their first attempt. Residents’ formative OSCE scores tended to improve with successive formative OSCEs, demonstrating a positive training effect. All residents felt that the formative OSCE was useful in preparing them for the summative OSCE.ConclusionsParticipation in multiple formative OSCEs was beneficial in preparing residents for the summative OSCE. The formative OSCE was useful in familiarising residents with the examination, giving them an opportunity to perform in near-examination conditions, and providing feedback to residents and faculty about their progress. Our findings may support the implementation of formative OSCEs in other training programmes to prepare learners for high-stake summative OSCEs.

Biometeorological Effects in Emergency Medicine with Respect to Stroke: A Population-Based Cohort Study

2019 ◽  
Author(s):  
Naoki Matsumaru ◽  
Hideshi Okada ◽  
Kodai Suzuki ◽  
Sho Nachi ◽  
Takahiro Yoshida ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Cohort Study ◽  
Population Based

scholarly journals Medium-term health and social outcomes in adolescents following sexual assault: a prospective mixed-methods cohort study

2021 ◽  
Author(s):  
Venetia Clarke ◽  
Andrea Goddard ◽  
Kaye Wellings ◽  
Raeena Hirve ◽  
Marta Casanovas ◽  
...  
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Cohort Study ◽  
Mixed Methods ◽  
Sexual Assault ◽  
Young People ◽  
Stress Disorders ◽  
Social Outcomes ◽  
Study Entry ◽  
Medium Term

Abstract Purpose To describe medium-term physical and mental health and social outcomes following adolescent sexual assault, and examine users’ perceived needs and experiences. Method Longitudinal, mixed methods cohort study of adolescents aged 13–17 years recruited within 6 weeks of sexual assault (study entry) and followed to study end, 13–15 months post-assault. Results 75/141 participants were followed to study end (53% retention; 71 females) and 19 completed an in-depth qualitative interview. Despite many participants accessing support services, 54%, 59% and 72% remained at risk for depressive, anxiety and post-traumatic stress disorders 13–15 months post-assault. Physical symptoms were reported more frequently. Persistent (> 30 days) absence from school doubled between study entry and end, from 22 to 47%. Enduring mental ill-health and disengagement from education/employment were associated with psychosocial risk factors rather than assault characteristics. Qualitative data suggested inter-relationships between mental ill-health, physical health problems and disengagement from school, and poor understanding from schools regarding how to support young people post-assault. Baseline levels of smoking, alcohol and ever drug use were high and increased during the study period (only significantly for alcohol use). Conclusion Adolescents presenting after sexual assault have high levels of vulnerability over a year post-assault. Many remain at risk for mental health disorders, highlighting the need for specialist intervention and ongoing support. A key concern for young people is disruption to their education. Multi-faceted support is needed to prevent social exclusion and further widening of health inequalities in this population, and to support young people in their immediate and long-term recovery.

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