Four-Station Group Observed Structured Clinical Encounter for Formative Assessment of Communication Skills for Internal Medicine Clerks

Abstract Introduction Communication with patients and among colleagues is critical to effective clinical care. A group observed structured clinical encounter (GOSCE) is an effective and resource-saving tool for teaching communication skills to medical students. While objective structured clinical ex...

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Main Authors: Allison Ludwig, Rosa Lee, Sharon Parish, Amanda Raff
Format: Article
Language:English
Published: Association of American Medical Colleges 2016-08-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.10444
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author Allison Ludwig
Rosa Lee
Sharon Parish
Amanda Raff
author_facet Allison Ludwig
Rosa Lee
Sharon Parish
Amanda Raff
author_sort Allison Ludwig
collection DOAJ
description Abstract Introduction Communication with patients and among colleagues is critical to effective clinical care. A group observed structured clinical encounter (GOSCE) is an effective and resource-saving tool for teaching communication skills to medical students. While objective structured clinical exams (OSCEs) are a well-established assessment tool for communication skills, a GOSCE allows for formal observation of communication skills while also providing an opportunity for peer observation and feedback. Additionally, a GOSCE costs less and requires fewer faculty per learner than a traditional OSCE. Methods This is a four-station GOSCE to teach advanced communication skills to medical students. The stations are smoking cessation, difficult doctor-patient encounter, shared decision making, and delivering bad news. A group is made up of four to six students and one faculty member. At each station, one student takes the lead in the patient interview, followed by a group interview and ending with feedback by all participants. Results In the pilot phase, a total of 44 students were administered the GOSCE and were surveyed about their experience. Students felt the GOSCE was an enjoyable and educational experience. The GOSCE has subsequently been administered to more than 600 students, and 25 internal medicine faculty have participated. Discussion Our work demonstrates that the GOSCE is a feasible curricular enhancement for formative assessment of communication skills during the internal medicine clerkship. It is easy to implement and has been well received by all participants, with minimal impact on limited medical school and faculty resources.
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spelling doaj.art-ddb26ebd6456462c8e49f7904a478ae12022-12-21T22:39:31ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652016-08-011210.15766/mep_2374-8265.10444Four-Station Group Observed Structured Clinical Encounter for Formative Assessment of Communication Skills for Internal Medicine ClerksAllison Ludwig0Rosa Lee1Sharon Parish2Amanda Raff31 Assistant Professor of Medicine, Department of Medicine, Albert Einstein College of Medicine2 Associate Medical Professor, CUNY School of Medicine3 Professor of Medicine in Clinical Psychiatry, Department of Psychiatry, Weill Cornell Medicine5 Associate Professor of Clinical Medicine, Department of Medicine, Albert Einstein College of MedicineAbstract Introduction Communication with patients and among colleagues is critical to effective clinical care. A group observed structured clinical encounter (GOSCE) is an effective and resource-saving tool for teaching communication skills to medical students. While objective structured clinical exams (OSCEs) are a well-established assessment tool for communication skills, a GOSCE allows for formal observation of communication skills while also providing an opportunity for peer observation and feedback. Additionally, a GOSCE costs less and requires fewer faculty per learner than a traditional OSCE. Methods This is a four-station GOSCE to teach advanced communication skills to medical students. The stations are smoking cessation, difficult doctor-patient encounter, shared decision making, and delivering bad news. A group is made up of four to six students and one faculty member. At each station, one student takes the lead in the patient interview, followed by a group interview and ending with feedback by all participants. Results In the pilot phase, a total of 44 students were administered the GOSCE and were surveyed about their experience. Students felt the GOSCE was an enjoyable and educational experience. The GOSCE has subsequently been administered to more than 600 students, and 25 internal medicine faculty have participated. Discussion Our work demonstrates that the GOSCE is a feasible curricular enhancement for formative assessment of communication skills during the internal medicine clerkship. It is easy to implement and has been well received by all participants, with minimal impact on limited medical school and faculty resources.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10444FeedbackOSCECommunicationGroup Observed Structured Clinical Encounter
spellingShingle Allison Ludwig
Rosa Lee
Sharon Parish
Amanda Raff
Four-Station Group Observed Structured Clinical Encounter for Formative Assessment of Communication Skills for Internal Medicine Clerks
MedEdPORTAL
Feedback
OSCE
Communication
Group Observed Structured Clinical Encounter
title Four-Station Group Observed Structured Clinical Encounter for Formative Assessment of Communication Skills for Internal Medicine Clerks
title_full Four-Station Group Observed Structured Clinical Encounter for Formative Assessment of Communication Skills for Internal Medicine Clerks
title_fullStr Four-Station Group Observed Structured Clinical Encounter for Formative Assessment of Communication Skills for Internal Medicine Clerks
title_full_unstemmed Four-Station Group Observed Structured Clinical Encounter for Formative Assessment of Communication Skills for Internal Medicine Clerks
title_short Four-Station Group Observed Structured Clinical Encounter for Formative Assessment of Communication Skills for Internal Medicine Clerks
title_sort four station group observed structured clinical encounter for formative assessment of communication skills for internal medicine clerks
topic Feedback
OSCE
Communication
Group Observed Structured Clinical Encounter
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.10444
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