Establishment of two forensic medicine OSCE stations on the subject of external post-mortem examination

Abstract

An improvement in quality of medical external post-mortem examinations among others can be achieved by more intensive training of medical students. Modern learning and teaching methods such as e-learning modules and SkillsLab stations should be used for this. The introduction of corresponding methods of assessment such as the OSCE procedure is necessary to test the success of learning. In Halle (Germany), two OSCE stations on the subject of external post-mortem examinations were introduced in 2016. The 'practical external post-mortem examination' station test skills and abilities students have learned during practical external post-mortem examination in small group classes on a simulation doll. At the 'death certificate' station, an original death certificate must be filled in, testing the knowledge, skills and abilities learned in the SkillsLab station and during e-learning. A total of 148 students took part in the test. At both stations, at least two thirds of the students (69.5 and 81.7%) were able to show good or very good test results. In addition to the strengths, a detailed evaluation of the test results showed that there were still deficits in terms of the corresponding courses (e.g. inspection of the neck region in the small group classes), which will have to be remedied in the future. When analysing the test concept and the test implementation, objectivity was nearly perfect. There was a satisfactory internal consistency and stability over 8 months. Ultimately, in addition to several strengths (such as good understanding and transparency of the checklists) the evaluation of the examiners also showed further potential areas for improvement (e.g. harmonisation of the degree of difficulty for the individual rotations) when designing the OSCE stations. Overall, it was possible to determine that the OSCE testing format is a suitable tool to test external post-mortem examination skills and that conclusions about improvements in teaching can also be drawn from this.

Online teaching of forensic medicine and pathology during the COVID-19 pandemic: A course evaluation

“…Developments in the teaching of forensic medicine and pathology to medical undergraduates have been described in the literature in recent years, including the creation of Objective Structured Practical Examinations (OSPEs), 18 Objective Structured Clinical Examinations (OSCEs) in post mortem examinations of the surface of a body using mannequins and death certification, 19 , 20 , 21 and practical crime scene simulations. 22 Optional teaching modules (‘Student Selected Components’) have been described also, 23 and curricula for students destined to become specialists in forensic pathology or clinical forensic medicine have been detailed.…”

Simulation im Wahlfach Rechtsmedizin im Dritten Abschnitt der Ärztlichen Prüfung

“…Es gibt bereits einige Ansätze, rechtsmedizinische Lehre und Prüfungen durch die Verwendung von Simulatoren und SP zu standardisieren und ohne die Arbeit am realen Leichnam authentisch zu prüfen bzw. zu lehren [ 6 ]. Durch die vorübergehende Änderung der ÄApprO konnten diese nun erstmalig auf die M3-Prüfung übertragen werden.…”

“…Damit wären realitätsnahe, reproduzierbare und vergleichbare Szenarien unter bestmöglicher Umgehung der an einigen Standorten hürdenhaften Umsetzbarkeit einer Prüfung am realen Leichnam möglich. Denkbar wäre die Prüfung des Ablaufes der Leichenschau als OSCE-Komponente [ 6 ], um die Objektivität weiter zu erhöhen. Die Todesbescheinigung könnte computer- [ 1 ] oder Paper-Pencil-basiert erfolgen, um den Personalaufwand zu reduzieren.…”

Research on the Cultivation and Promotion of College Students’ Legal Quality and Legal Knowledge Based on Deep Learning

“…Method. This research also takes the interview method as one of the important research methods and uses the semistructured interview method to interview some college students and college teachers, in order to deepen the grasp of the status quo of college students' legal quality and the status quo of college legal publicity work [10], for college students. Research on the path to improve legal quality provides ideas.…”