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10.1186/s12909-016-0755-5

http://scihub22266oqcxt.onion/10.1186/s12909-016-0755-5
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suck abstract from ncbi


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pmid27589949      BMC+Med+Educ 2016 ; 16 (1): ä
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  • Proficiency in identifying, managing and communicating medical errors: feasibility and validity study assessing two core competencies #MMPMID27589949
  • Abu Dabrh AM; Murad MH; Newcomb RD; Buchta WG; Steffen MW; Wang Z; Lovett AK; Steinkraus LW
  • BMC Med Educ 2016[]; 16 (1): ä PMID27589949show ga
  • Background: Communication skills and professionalism are two competencies in graduate medical education that are challenging to evaluate. We aimed to develop, test and validate a de novo instrument to evaluate these two competencies. Methods: Using an Objective Standardized Clinical Examination (OSCE) based on a medication error scenario, we developed an assessment instrument that focuses on distinctive domains [context of discussion, communication and detection of error, management of error, empathy, use of electronic medical record (EMR) and electronic medical information resources (EMIR), and global rating]. The aim was to test feasibility, acceptability, and reliability of the method. Results: Faculty and standardized patients (SPs) evaluated 56 trainees using the instrument. The inter-rater reliability of agreement between faculty was substantial (Fleiss k?=?0.71) and intraclass correlation efficient was excellent (ICC?=?0.80). The measured agreement between faculty and SPs evaluation of resident was lower (Fleiss k?=?0.36). The instrument showed good conformity (ICC?=?0.74). The majority of the trainees (75 %) had satisfactory or higher performance in all six assessed domains and 86 % found the OSCE to be realistic. Sixty percent reported not receiving feedback on EMR use and asked for subsequent training. Conclusion: An OSCE-based instrument using a medical error scenario can be used to assess competency in professionalism, communication, using EMRs and managing medical errors. Electronic supplementary material: The online version of this article (doi:10.1186/s12909-016-0755-5) contains supplementary material, which is available to authorized users.
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