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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
Summary
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.
- 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.
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