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Performance-Based Assessment in Child and Adolescent Psychiatry Residency Training
Sahbal Aras1, Burcu Serim Demirgören2
1Dokuz Eylul University, Izmir, Turkey. sahbal.aras@deu.edu.tr.
Summary
The Objective Structured Clinical Examination (OSCE) effectively assesses child and adolescent psychiatry (CAP) residents
Area of Science:
- Medical Education
- Psychiatry Training
- Competency Assessment
Background:
- Assessing clinical competency in child and adolescent psychiatry (CAP) residents is crucial for effective training.
- The Objective Structured Clinical Examination (OSCE) offers a standardized method for evaluating clinical skills.
- Understanding resident and examiner feedback is vital for refining assessment tools.
Purpose of the Study:
- To evaluate the application of the OSCE for assessing competency in CAP residents.
- To analyze feedback from both residents and examiners regarding the OSCE process.
- To assess the utility of OSCE in progressive clinical skills development.
Main Methods:
- Administered OSCE to 53 CAP residents across three seniority levels over 14 years.
- Evaluated 147 OSCE results and associated feedback.
- Calculated OSCE scores using input from examiners and standardized patients (SPs).
Main Results:
- Examiner communication scores exceeded task performance scores; no significant difference with SP scores.
- High consistency observed between examiners and SPs in assessments (Intraclass correlation coefficients).
- Feedback indicated examiners rated OSCEs higher than residents, except for examiner neutrality.
Conclusions:
- A standardized OSCE effectively assesses progressive clinical skills in CAP residents.
- OSCE serves as a valuable educational tool for both trainers and residents.
- Despite challenges with SPs, OSCE proved beneficial for enhancing CAP training programs.
