Objective standardized clinical assessment with feedback: Adapting the objective structured clinical examination for postgraduate psychiatry training in India.

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dc.contributor.authorChandra, Prabha S
dc.contributor.authorChaturvedi, Santosh K
dc.contributor.authorDesai, Geetha
dc.date.accessioned2013-03-05T06:03:59Z
dc.date.available2013-03-05T06:03:59Z
dc.date.issued2009-06
dc.description.abstractBackground: The objective structured clinical examination (OSCE) is used commonly for assessment of psychiatry trainees but has been used less for teaching. Aim and Setting: This study describes the adaptation of the OSCE method for training purposes in a postgraduate psychiatry training center in India and the initial findings with regard to trainee performance. Materials and Methods : The adapted method was called the objective structured clinical assessment with feedback (OSCAF). The adaptation included several steps - modifying existing OSCE patterns for language and cultural appropriateness, using supervised roleplaying instead of standardized or simulated patients and evolving an assessment method (14-item checklist) that would generate feedback. This exercise was conducted in front of a group of multidisciplinary peers and supervisors. Statistical Analysis: Descriptive statistics and ANOVA were used. Results: Analysis of the performance based on the 14-item checklist assessing common elements of any patient-related interaction in 34 different OSCAF tasks indicated the following: less-than-satisfactory (<75%) performances in the following areas - assuring confidentiality (73.5%), assessing comfort (62%), summarizing (60%), closure (62%) and checking whether the 'patient' had understood what was being communicated (42%). Based on the nature of clinical situations, performances on some specific and difficult OSCAF situations were found to be inadequate and indicated need for further training. Conclusions: We have been able to demonstrate OSCAF to be a convenient, cost-effective training method in psychiatry, with limited demands on resources; however, further refinements in ratings and feedback methods and studies on effectiveness may enhance its utility.en_US
dc.identifier.citationChandra Prabha S, Chaturvedi Santosh K, Desai Geetha. Objective standardized clinical assessment with feedback: Adapting the objective structured clinical examination for postgraduate psychiatry training in India. Indian Journal of Medical Sciences. 2009 June; 63(6) 235-243.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/145413
dc.language.isoenen_US
dc.source.urihttps://www.indianjmedsci.org/article.asp?issn=0019-5359;year=2009;volume=63;issue=6;spage=235;epage=243;aulast=Chandraen_US
dc.subjectMedical educationen_US
dc.subjectobjective structured clinical examinationen_US
dc.subjectpostgraduate psychiatryen_US
dc.subjecttrainingen_US
dc.subject.meshClinical Competence
dc.subject.meshCross-Cultural Comparison
dc.subject.meshEducation, Medical, Graduate --methods
dc.subject.meshEducational Measurement
dc.subject.meshHumans
dc.subject.meshIndia
dc.subject.meshProblem-Based Learning
dc.subject.meshPsychiatry --education
dc.subject.meshRole Playing
dc.subject.meshTeaching --methods
dc.titleObjective standardized clinical assessment with feedback: Adapting the objective structured clinical examination for postgraduate psychiatry training in India.en_US
dc.typeArticleen_US
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