[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-317138-105":59,"doc-detail-317138-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","development-and-evaluation-of-a-hand-surgery-orthopaedic-longitudinal-osce","Development and Evaluation of a Hand Surgery Orthopaedic Longitudinal OSCE","","Development and evaluation of a hand surgery orthopaedic longitudinal OSCE examines how standardized patient encounters can measure trainees’ interpersonal and communication competencies. The program used a hand surgery case across three longitudinal sessions—patient evaluation, informed consent, and breaking bad news—using the same standardized patient family and SP-rated checklists. Results show strong SP ratings for history, consent, and breaking bad news, while resident self-assessments were more favorable. Feedback usefulness was limited, and the scenario’s physical realism was challenging.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/development-and-evaluation-of-a-hand-surgery-orthopaedic-longitudinal-osce/317138/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/development-and-evaluation-of-a-hand-surgery-orthopaedic-longitudinal-osce/317138.png","ImageObject",300,407,{"name":92,"@type":93},"Margaret","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-23","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What competencies does the hand surgery longitudinal OSCE aim to assess?","Question",{"text":113,"@type":114},"It is designed to evaluate residents’ interpersonal and communication skills through structured standardized patient encounters.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How is the OSCE session structured in this program?",{"text":118,"@type":114},"Each resident completes three encounters: patient evaluation, informed consent, and breaking bad news, using the same standardized patient family across all sessions.",{"name":120,"@type":111,"acceptedAnswer":121},"What key differences appear between SP evaluations and resident self-evaluations?",{"text":122,"@type":114},"Residents often overestimate their competence in effectively communicating, compared with the standardized patient ratings.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},317138,1790374140,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81},137451207643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Development and Evaluation of a Hand Surgery Orthopaedic Longitudinal OSCE  \nRobert Sterling, MD and Joshua M. Abzug, MD  \nUniversity of Maryland School of Medicine, Department of Orthopaedics, Baltimore, MD  \nINTRODUCTION  \n-Objective Structured Clinical Examinations (OSCE) have become routine for educating and testing medical students and medical and surgical residents  \n-OSCEs utilized for: Improving interpersonal skills Communication skills Professionalism  \nACGME recommends OSCE as the preferred assessment of these competencies.  \nPURPOSE  \nWe developed and administered an OSCE utilizing a hand surgery case, with the same standardized families throughout all sessions, to assess residents interpersonal and communication skills.  \nMETHODS  \nWe developed an OSCE program for our residents in our Clinical Education and Evaluation Laboratory (CEEL)  \nThe OSCE session consisted of 3 parts:  \npatient evaluation  \ninformed consent  \nbreaking bad news  \nEach resident saw the same standardized patient (SP) family for each of the 3 encounters of a program for longitudinal evaluation by the same SPs  \nMETHODS cont.  \nEvaluation checklists were filled out by SPs for each encounter to rate performance using a standard scale  \n4=role model  \n3=competent  \n2=some competence but needs improvement  \n1=not competent)  \nAt the end of the 3rd encounter, face-to-face feedback was provided to the resident  \nEach resident also provided an evaluation of the program at the end of the day.  \nRESULTS  \nThe majority of residents felt that the SP encounters mirrored a patient encounter 􀃆 75% ganglion cyst  \na high percentage did not rate the OSCE as a “useful learning experience” 􀃆 35% ganglion cyst  \nThe SPs rated the majority of residents as role model or competent History:81%  \nInformed consent:82%  \nBreaking of bad news:79%  \nthe corresponding resident performance self-assessment as role model or competent was much more favorable  \nHistory:97%  \nInformed consent:92%  \nBreaking of bad news:87%  \nThe pediatric patient was engaged effectively by 90% of the residents during the history and physical.  \n95% of the residents did not ask patients/family members to repeat back what they heard to demonstrate understanding while obtaining informed consent.  \nRESULTS cont.  \nWhen asked to evaluate the program, a minority of residents found the feedback at the end of the program helpful.  \n94% of our residents agree with the statement,  \n“Practice makes perfect, therefore as a physician I should have opportunities to practice procedures and receive feedback on my performance as much as possible to maximize my skill when I operate on real patients.”  \nWhen this same question was posed substituting  \n“communication skills” for “procedures”, only 30% agreed.  \nCONCLUSIONS  \n- In comparing SP evaluations and resident self-evaluations, the residents frequently overestimate their competence in effectively communicating with their patients.  \n-Residents felt that the longitudinal component of the OSCE did make the encounter more realistic; however, the ganglion cyst scenario was difficult due to the lack of accurate physical findings (the “ganglion” was applied with make-up which was not an accurate enough representation) .  \n- In preparation for breaking bad news, residents found this more realistic when given time after being told of the surgical complication in order to permit research of the topic and to ask questions of an attending surgeon so that details could be provided to the family. In general, our residents were very resistant to participating in this program.  \n-The majority of residents believe that OSCEs are not important to their training and will not help make them better physicians but rather hold significantly more value to practicing technical skills.","cbCaiikIBPx380wO","https://ap.wps.com/l/cbCaiikIBPx380wO","pdf",367396,"English","# Introduction\n# Purpose\n# Methods\n## OSCE structure\n# Results\n# Conclusions","[{\"question\":\"What competencies does the hand surgery longitudinal OSCE aim to assess?\",\"answer\":\"It is designed to evaluate residents’ interpersonal and communication skills through structured standardized patient encounters.\"},{\"question\":\"How is the OSCE session structured in this program?\",\"answer\":\"Each resident completes three encounters: patient evaluation, informed consent, and breaking bad news, using the same standardized patient family across all sessions.\"},{\"question\":\"What key differences appear between SP evaluations and resident self-evaluations?\",\"answer\":\"Residents often overestimate their competence in effectively communicating, compared with the standardized patient ratings.\"}]","Development and Evaluation of a Hand Surgery Orthopaedic Longitudinal OSCE | PDF",1789929044]