Consulting properly rather than acting: advocating for real patient involvement in summative OSCEs View Full Text


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Article Info

DATE

2022-06-06

AUTHORS

Grainne P. Kearney, Jennifer L. Johnston, Nigel D. Hart, Kathy M. Cullen, Gerard J. Gormley

ABSTRACT

BackgroundIn this “Advancing simulation practice” article, we offer an expose of the involvement of real patients in Objective Structured Clinical Examinations (OSCEs), inviting educators who traditionally involve solely SPs in their summative OSCEs to consider the practice. The need for standardisation in summative assessments can make educators understandably wary to try this, even if the rhetoric to involve real patients is accepted. We offer this as an instance of the tussle between standardisation and validity experienced throughout health professions education.Main textWe offer our experience and empirical evidence of this simulation practice, based on an institutional ethnographic examination of the involvement of real patients in summative OSCEs from an undergraduate medical school in the UK. Our critique demonstrates the merits of this approach as an assessment environment closer to the real clinical environments where these soon-to-be doctors interact in a more authentic way with real patients and their illness experiences. We balance this against the extra work required for all involved and suggest the biggest challenge is in the reorientation work required for both Faculty and students who are institutionalised to expect standardisation above all in assessment.ConclusionWe advocate for involving real patients in summative OSCEs and hope that readers may feel compelled and empowered to foster this shift in mindset required to introduce this practice into their assessments. More... »

PAGES

16

References to SciGraph publications

  • 2017-10-12. Actor-network theory and the OSCE: formulating a new research agenda for a post-psychometric era in ADVANCES IN HEALTH SCIENCES EDUCATION
  • 2020-06-05. Scenes, symbols and social roles: raising the curtain on OSCE performances in PERSPECTIVES ON MEDICAL EDUCATION
  • 2017-06-27. The Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP) in ADVANCES IN SIMULATION
  • 2020. Comprehensive Healthcare Simulation: Implementing Best Practices in Standardized Patient Methodology in NONE
  • 2020-11-16. The hidden labours of designing the Objective Structured Clinical Examination: a Practice Theory study in ADVANCES IN HEALTH SCIENCES EDUCATION
  • 2017-10-03. Creating a quality improvement culture in standardized/simulated patient methodology: the role of professional societies in ADVANCES IN SIMULATION
  • 2018-06-26. Blurred boundaries: sexuality and power in standardised patients’ negotiations of the physical examination in ADVANCES IN SIMULATION
  • 2017-01-06. Sharing simulation-based training courses between institutions: opportunities and challenges in ADVANCES IN SIMULATION
  • 2020-12-16. Using Composites to Craft Institutional Ethnographic Accounts in THE PALGRAVE HANDBOOK OF INSTITUTIONAL ETHNOGRAPHY
  • 2019-02-11. Why institutional ethnography? Why now? Institutional ethnography in health professions education in PERSPECTIVES ON MEDICAL EDUCATION
  • 2006-10-31. Students Learning from Patients: Let’s Get Real in Medical Education in ADVANCES IN HEALTH SCIENCES EDUCATION
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s41077-022-00213-4

    DOI

    http://dx.doi.org/10.1186/s41077-022-00213-4

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1148447273

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35668473


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