Improved detection of patient centeredness in objective structured clinical examinations through authentic scenario design
- Authors
- Park, Kye-Yeung; Park, Hoon-Ki; Hwang, Hwan-Sik; Yoo, Sang-Ho; Ryu, Jae-Sook; Kim, Jong-Hoon
- Issue Date
- May-2021
- Publisher
- Elsevier Ireland Ltd
- Keywords
- Authenticity; Measure of patient centered communication; Objective structured clinical examination; Patient centeredness; Standardized patient
- Citation
- Patient Education and Counseling, v.104, no.5, pp.1094 - 1099
- Indexed
- SCIE
SSCI
SCOPUS
- Journal Title
- Patient Education and Counseling
- Volume
- 104
- Number
- 5
- Start Page
- 1094
- End Page
- 1099
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/141990
- DOI
- 10.1016/j.pec.2020.10.016
- ISSN
- 0738-3991
- Abstract
- Objective: In current objective structured clinical examinations (OSCEs), simulated encounters lacking realism reduce authenticity of assessment as students can take the OSCEs with a search-and-scan approach and trained empathy. Accordingly, patient-centeredness, the fundamental goal of OSCE, is not well assessed. This study evaluated the effect of a change in the OSCE scenario and checklist with respect to detecting students’ patient-centeredness. Methods: A scenario script for valid representation of a real clinical encounter was developed and defined as authenticated scenario. The OSCE scores and the measure of patient-centered communication (MPCC) scores of 79 medical students were compared between the two OSCE stations, one using the traditional scenario and another using the authenticated scenario. Results: The MPCC total score was higher in the OSCE station using the authenticated scenario than that of the traditional scenario (p < 0.001). For the OSCE scores, the patient satisfaction score and the patient-physician interaction score were higher in the station using the authenticated scenario than the traditional one (p < 0.001). Conclusion: The OSCE station using the authenticated scenario better detected medical student level of patient-centeredness. Practice implications: Strengthening the authenticity of the OSCE scenario is critical for detecting the medical students’ levels of patient-centeredness.
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