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Published on: June 20, 2018
Rhinoplasty Education Using a Standardized Patient Encounter.
Eric J Wright1, Rohit K Khosla1, Lori Howell1
1Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA, USA.
A rhinoplasty Objective Structured Clinical Examination (OSCE) improved resident assessment in aesthetic surgery training. While improving medical knowledge, the OSCE highlighted educational gaps in billing and scheduling, prompting targeted lectures.
Area of Science:
- Medical Education
- Surgical Training
- Aesthetic Surgery
Background:
- Comprehensive aesthetic surgery training presents challenges for residency programs.
- A rhinoplasty-based Objective Structured Clinical Examination (OSCE) was developed using validated methods.
- This study reports the experience and guidance for incorporating the rhinoplasty OSCE into residency programs.
Purpose of the Study:
- To evaluate the effectiveness of a rhinoplasty-based OSCE in aesthetic surgery residency training.
- To identify areas of strength and weakness in resident performance.
- To provide guidance for implementing OSCEs in surgical education.
Main Methods:
- A rhinoplasty-themed OSCE was conducted for resident evaluation and operative planning.
- Validated OSCE methods were employed, assessing history taking, physical examination, and patient consultation.
- Resident performance was statistically analyzed (P<0.05).
Main Results:
- Medical knowledge scores improved with clinical progression (50% to 84% for PGY3 vs. PGY6).
- All residents demonstrated deficiencies in billing and operative scheduling form submission.
- Residents and faculty confirmed the OSCE's realism and utility for performance assessment.
Conclusions:
- Innovative methods are crucial for aesthetic surgery residency education.
- The OSCE identified a need for improved instruction in billing and coding.
- A well-designed OSCE serves as a valuable adjunct for improving nonoperative skills in rhinoplasty training.
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