Simulating a Full-Length Psychiatric Interview With a Complex Patient: An OSCE for Medical Students

Abstract

Brief encounters with standardized psychiatric patients have been reported. In contrast, a videotaped objective structured clinical examination designed to simulate a comprehensive psychiatric evaluation was used to evaluate all students assigned to three successive psychiatry clerkship rotations (N=52). Performance assessment was based on standardized patients' completion of a 36-item content checklist and a patient perception scale, and on students' completion of a written examination component. Checked independently, all three assessments correlated with the students' score on the NBME psychiatry examination, their ward grade, and their essay examination grade. Students' ratings were favorable for time allotted, usefulness, and believability.

Correlation Between Student Performances on Course Level Integrated Clinical Skills Examinations and Objective Structured Clinical Examinations in a Chiropractic College Program

“…13 Searches of the literature turned up other studies of relationships between OSCEs and scores on other evaluations (Table 4). 7,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] In several examples the amounts of correlation appeared similar to the Pearson r values found in our study, while in several others the correlation appeared much lower, and only 1 example was found for which correlation appeared substantially higher than that of our study. 20 Some investigators' insights could be helpful to other investigators.…”

“…In contrast, many of the studies found in the literature search did measure reliability and state correlation coefficients, 1,9,11,12,16,17,28 though others did not; 22,24 some did not even mention the issue of test reliability. 7,18,23 Following each OSCE in this time period, a faculty committee inspected evaluator checklists for inter-examiner discrepancies and made scoring adjustments where obviously needed, but there was no formal analysis of reliability.…”

Praxisorientierte Prüfungen in den „Psychosozialen Fächern“

“…Im angloamerikanischen Sprachraum werden schon seit längerem auch in den "psychosozialen Fächern" OSCEs zur Überprüfung der Leistung Medizinstudierender [13] und teilweise bis zur Facharztebene eingesetzt [20]. [18].…”

“…[18]. Durch Variabilität der Länge und Komplexität der Prüfungsstationen und der einstudierten Rollen lassen sich kommunikative, soziale und differenzialdiagnostische Fertigkeiten von Medizinstudierenden auf sehr unterschiedlichem Niveau prüfen [13].…”

The RCPSC Oral Examination: Patient Perceptions and Impact on Participating Psychiatric Patients

“…SPs are actors who are trained and paid to simulate a particular disorder or clinical situation. Recent published literature has focused on the use of SPs in psychiatric and nonpsychiatric oral exams in regard to, but not limited to, 1) psychological effects of the exam on SPs; 2) validity, reliability, and cost; and 3) potential performance differences in residents when interviewing real patients, compared with SPs (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). Most of the published literature refers to SPs in an OSCE format wherein they generally have to act for a maximum of 10 minutes per candidate.…”