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The "Culture OSCE"--introducing a formative assessment into a postgraduate program.

L Aeder1, L Altshuler, E Kachur

  • 1Maimonides Medical Center, Brooklyn, NY, USA. laeder@maimonidesmed.org

Education for Health (Abingdon, England)
|July 25, 2007
PubMed
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The first Culture Objective Structured Clinical Exam (OSCE) provides valuable training in cultural competence. This formative assessment tool enhances skills for diverse patient encounters.

Area of Science:

  • Medical Education
  • Cultural Competence Training
  • Healthcare Simulation

Background:

  • Growing need for effective cultural competence training models.
  • Objective Structured Clinical Exam (OSCE) format ideal for skills practice and feedback.
  • Maimonides Medical Center developed the first formative Culture OSCE in 1999.

Purpose of the Study:

  • To develop and implement a novel formative Culture OSCE.
  • To assess the effectiveness of the OSCE as a training tool for cultural competence.
  • To enhance faculty development in cultural competence assessment.

Main Methods:

  • Interdisciplinary committee developed OSCE based on literature review and hospital experiences.
  • Preceded by a two-hour cultural competence workshop.

Related Experiment Videos

  • Utilized standardized patients from relevant cultural groups, costumes, and props for authenticity.
  • Faculty observers provided constructive feedback using a rating scale assessing communication and cultural skills.
  • Main Results:

    • Gathered written feedback from residents, faculty observers, and standardized patients.
    • Resident feedback indicated good face validity.
    • Post-OSCE debriefing facilitated learning consolidation and oral feedback.

    Conclusions:

    • Maimonides Medical Center Pediatrics Department pioneered the Culture OSCE.
    • The Culture OSCE is a valuable training tool for enhancing cultural competence.
    • The program highlights the importance of cultural competence in pediatric care.