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.
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References
Kwolek CJ, Donnelly MB, Sloan DA, et al: Ward evaluations: should they be abandoned? J Surg Res 1997; 69: 1–6
Ryan JG, Mandel FS, Sama A, et al: Reliability of faculty clinical evaluations of non-emergency medicine residents during emergency department rotations. Acad Emerg Med 1996; 3: 1124–1130
Verhoeven BH, Hamers JG, Scherpbier AJ, et al: The effect of reliability of adding a separate written assessment component to an objective structured clinical examination. Med Educ 2000; 34: 525–529
Hodges B, Regehr G, Hanson M, et al: Validation of an objective structured clinical examination in psychiatry. Acad Med 1998; 73: 910–912
Hodges B, Regehr G, Hanson M, et al: An objective structured clinical examination for evaluating psychiatric clinical clerks. Acad Med 1997; 72: 715–721
Spitzer RL, Gibbons M, Skodol AE, et al (eds): DSM-IV Case Book: A Learning Companion to the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition). Washington, DC, American Psychiatric Press, 1994
Colliver JA, Williams RG: Technical issues: test application. Proceedings of the AAMC Consensus Conference on the Use of Standardized Patients in the Teaching and Evaluation of Clinical Skills, Washington, DC, 1992
Cusimano MD, Cohen R, Tucker W, et al: A comparative analysis of the costs of administration of an OSCE. Acad Med 1994; 69: 571–576
McLay RN, Rodenhauser P, Anderson D, et al: Using standardized patients to teach the mental status examination (letter). Med Educ 2000; 22: 333
Hull AL, Hodder S, Berger B, et al: Validity of three clinical performance assessments of internal medicine. Acad Med 1995; 70: 517–522
Olsen JC, Gurr DE, Hughes M: Video analysis of emergency medicine residents performing rapid sequence intubations. J Emerg Med 2000; 18: 469–472
Kahn MJ, Merrill WW, Anderson DS, et al: Residency program director evaluations do not correlate with performance on a required 4th-year objective structured clinical examination. Teaching and Learning in Medicine 2001; 13: 9–12
Love RR, Newcomb PA, Schiller JH, et al: A comparison of knowledge and communication skill evaluations by written essay and oral examinations in preclinical medical students. J Cancer Educ 1993; 8: 123–128
DiMatteo MR, Hays RD, Prince LM: Relationship of physicians’ nonverbal communication skill to patient satisfaction, appointment noncompliance, and physician workload. Health Psychol 1986; 5: 581–594
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McLay, R.N., Rodenhauser, P., Anderson, D.S. et al. Simulating a Full-Length Psychiatric Interview With a Complex Patient. Acad Psychiatry 26, 162–167 (2002). https://doi.org/10.1176/appi.ap.26.3.162
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DOI: https://doi.org/10.1176/appi.ap.26.3.162