Course directors of the participating programs develop the assessment objectives, learning goals, the case and checklists for an Objective Structured Clinical Exam (OSCE) that is completed in SPAL. The OSCE is designed for the learner to develop
- competence when performing physical exam skills using proper technique
- systems-based practice skills
- application of biomedical and clinical knowledge
- problem-solving and clinical reasoning skills
- interviewing and communication skills
- ability to learn from mistakes and purposeful practice
- professional behavior and bedside manner
- presentation and documentation skills
Learners report to SPAL in appropriate professional attire 15 minutes prior to their scheduled OSCE/event. They receive additional instructions and are escorted to the exam rooms. They are given a set amount of time to look at their patient’s chart before entering the room. The learner then begins the patient encounter and completes the tasks needed per details in the patient’s chart. These tasks may include, but are not limited to, taking a history, performing a physical exam, developing an assessment and plan for the patient follow-up and interpreting ancillary reports (labs, x-rays, EKGs, etc). As in professional clinical practice, all learners adhere to professional codes of conduct in working with standardized patients and clinical staff.
After the patient encounter, the learners document it via an electronic note or present it orally to a clinician who observed the patient encounter through the one-way window.
After the event, learners watch their patient encounter and complete a self-assessment to help them grow as clinicians. A review session allows learners to reconvene, view their scores and feedback from the standardized patients and clinicians, ask questions and reflect on the experience.