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Developing an innovative national ACP-OSCE program in Taiwan: a mixed method study.

Yen-Lin Wu1, Tsu-Yi Hsieh2,3, Sheau-Feng Hwang4

  • 1Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.

BMC Medical Education
|March 24, 2024
PubMed
Summary
This summary is machine-generated.

A national Objective Structured Clinical Examination (OSCE) program improved advance care planning (ACP) professionals' skills. The OSCE is an effective educational tool for enhancing ACP communication and problem-solving abilities.

Keywords:
Advance care planningCommunicationMedical educationMix-method studyObjective structured clinical examination

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Area of Science:

  • Medical Education
  • Healthcare Management

Background:

  • Advance care planning (ACP) is crucial for patient-centered end-of-life care.
  • Evaluating the effectiveness of ACP training programs is essential for improving healthcare quality.

Purpose of the Study:

  • To assess the process and comprehensiveness of advance care planning (ACP) through a national Objective Structured Clinical Examination (OSCE) program.
  • To evaluate the impact of the ACP-OSCE program on the skills of healthcare professionals involved in ACP.

Main Methods:

  • A 40-minute OSCE test was designed with realistic scenarios for ACP team members.
  • Preceptors observed participants interacting with standardized patients, assessing communication, medical expertise, legal knowledge, empathy, and problem-solving skills.
  • Qualitative analysis used thematic analysis of participant feedback.

Main Results:

  • 38 ACP professionals (physicians, nurses, social workers, psychologists) participated.
  • Post-OSCE, participants showed increased average scores in communication, medical expertise, legal knowledge, empathy, and problem-solving.
  • Nurses, psychologists, and social workers reported significant skill improvements, while physicians reported none.

Conclusions:

  • The national ACP-OSCE program is the first of its kind in Asia.
  • The program is considered an appropriate educational tool for enhancing ACP skills.
  • The ACP-OSCE program has the potential for international application to improve ACP processes and quality.