Pivoting during a Pandemic: Reimagining Intern Orientation EPA-Based OSCE.
Manish Suneja1, Kate DuChene Thoma2, Ellen Franklin3
1From the Department of Internal Medicine.
Southern Medical Journal
|March 2, 2023
Summary
A hybrid objective structured clinical examination (OSCE) successfully assessed intern clinical skills during the COVID-19 pandemic. This innovative approach combined in-person and virtual encounters, ensuring safety while maintaining educational goals and participant satisfaction.
Area of Science:
- Medical Education
- Clinical Skills Assessment
- Pandemic Response
Background:
- Objective structured clinical examinations (OSCEs) are vital for assessing clinical skills.
- The COVID-19 pandemic necessitated adaptations in medical education.
- Previous OSCEs provided valuable baseline intern skill data.
Purpose of the Study:
- To describe a hybrid OSCE model integrating in-person and virtual elements.
- To maintain OSCE goals while mitigating risks during the pandemic.
- To assess intern clinical skills safely during the COVID-19 pandemic.
Main Methods:
- A hybrid OSCE was implemented for 41 Internal Medicine and Family Medicine interns.
- Five stations assessed clinical skills using faculty and simulated patient checklists.
- Interns, faculty, and simulated patients completed post-OSCE surveys.
Main Results:
- Informed consent, handoffs, and oral presentations were lowest-performing stations.
- 100% of interns valued immediate faculty feedback.
- Faculty and simulated patients reported satisfaction with the hybrid format.
Conclusions:
- A hybrid OSCE using Zoom technology can be delivered safely and effectively.
- This model successfully assessed intern skills without compromising educational goals.
- The hybrid OSCE maintained high levels of participant satisfaction during the pandemic.
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