[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-317297-105":59,"doc-detail-317297-en":130},{"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":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","innovations-in-family-medicine-education-no-9-assessing-medical-decision-making-using-human-patient-simulation","Innovations in Family Medicine Education - No. 9 - Assessing Medical Decision Making Using Human Patient Simulation","","Pilot study describes an Objective Structured Clinical Examination (OSCE) built with Human Patient Simulation (HPS) to evaluate family medicine residents’ clinical decision making in a simulated emergency. Two HPS-OSCE sessions included seven stations with checklists, global ratings, and scoring sheets. Results showed similar mean scores between first- and second-year residents, with no statistical difference. Conclusions indicate feasibility for small groups, while a larger study is needed to determine effectiveness for evaluation.",{"@graph":69,"@context":122},[70,84,105],{"@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/innovations-in-family-medicine-education-no-9-assessing-medical-decision-making-using-human-patient-simulation/317297/",{"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/innovations-in-family-medicine-education-no-9-assessing-medical-decision-making-using-human-patient-simulation/317297.png","ImageObject",300,407,{"name":92,"@type":93},"Bill Black","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the goal of this pilot study?","Question",{"text":112,"@type":113},"To assess resident medical decision making and performance in a single simulated emergency situation using an HPS-based OSCE with seven stations.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the OSCE structured and evaluated?",{"text":117,"@type":113},"Two HPS-OSCE sessions were conducted, using checklists and global rating scales, with faculty observing sessions, timing, and scoring stations and producing narrative reports after debriefing.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the key results comparing residents across training years?",{"text":121,"@type":113},"First- and second-year residents scored similarly on mean scores, and no statistical difference was found between resident scores.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},317297,1790090047,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":39},24189269381491,"https://ap-avatar.wpscdn.com/avatar/160000cf11732dd8392?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788146458752108895","Vol. 42, No. 9 661  \nInnovations in Family Medicine Education    \nAssessing Medical Decision Making Using Human Patient Simulation  \nBeth Anne Fox, MD, MPH  \nBackground: This pilot study describes an Objective Structured Clinical Examination (OSCE) developed using Human Patient Simulation (HPS). Methods: Eight residents completed two iterations of this HPSOSCE containing seven stations and utilizing checklists, global ratings, and scoring sheets. Results: The first-and second-year residents scored similarly with mean scores of 64/104 and 62/123, respectively. No statistical difference was noted between the resident scores. Conclusions: The HPS OSCE is feasible for small groups. A larger study will be needed to determine the effectiveness of this tool for evaluation.  \n(Fam Med 2010;42(9):661-3.)  \nObjective Structured Clinical Examinations (OSCEs), combined with standardized patients (SPs), are a standard evaluation method in medical education. However, the assessment of clinical competence, especially clinical decision making in emergency situations (eg, cardiovascular emergencies) cannot be realistically replicated using SPs. Traditional OSCEs cannot measure or assess how residents would perform in a real-life emergency patient care situation.  \nThis study’s purpose was to assess resident medical decision making and performance in one simulated emergency situation. We used Human Patient Simulation (HPS) in a single-case OSCE with seven stations. HPS is a computerdriven, anatomically correct mannequin that can be programmed to reflect normal and pathologic physiologic functioning. HPS can duplicate illness, chronic condition, or emergency situation; can respond to real-time virtual interventions; and can be customized to address specific needs.1 HPS can prompt  \nFrom the Department of Family Medicine, East Tennessee State University.  \nthe learner to react to and reassess rapidly changing physiologic parameters such as blood pressure, pulse, and responses to treatment interventions.2 For example, the simulator can be programmed to (1) respond to dosages, types, and delivery of different medications such as metoprolol, resulting ina lowering of blood pressure and slowing of the heart rate, (2) develop or present with arrhythmias such as ventricular fibrillation and respond to defibrillation with return of a viable heart rhythm, and (3) demonstrate effects of other interventions such as right main stem bronchus intubation with reduced breath sounds and impaired ventilation resulting in hypoxia and absent breath sounds. These interventionsand responses cannot be duplicated in the traditional OSCE with standardized patients.  \nAnesthesia trainers use HPSto expose residents to emergent situations such as malignant hyperthermia and cardiac ischemia and in trauma surgical training to improve surgical and procedural skills, teamwork, and resuscitation skills.3 Medical student educators use HPS for teaching physical examination skills4 and advanced  \ncardiac resuscitation skills .5 A 2010 literature search revealed no articles describing real-time resident assessment in an emergency situation using clinical simulation in family medicine. In our study, we incorporated HPS in an OSCE to assess family medicine residents’clinical decision making in one emergency situation.  \nMethods  \nEast Tennessee State University (ETSU) Kingsport Family Medicine Residency is a 6-6-6 community-based residency. In the spring of 2008, we designed, implemented, and evaluated a pilot intervention integrating the HPS into an OSCE setting. We conducted two HPS OSCE sessions, one 3-hour session with three postgraduate year (PGY)-1 residents and another 6-hour session with five PGY-2 residents. Scheduling conflicts and patient care responsibilities prevented all 12 residents from participating. We adapted a traditional OSCE demonstrating acute coronary syndrome for use in this HPS OSCE. We purchased 9 hours of mannequin time at $50 per hour from the university.","cbCaiuh47uEtulgD","https://ap.wps.com/l/cbCaiuh47uEtulgD","pdf",353335,"English","# Background\n## Study purpose\n# Methods\n## Setting and participants\n## OSCE design and stations\n# Testing and Scoring\n# Data Analysis and Results\n# Conclusions","[{\"question\":\"What was the goal of this pilot study?\",\"answer\":\"To assess resident medical decision making and performance in a single simulated emergency situation using an HPS-based OSCE with seven stations.\"},{\"question\":\"How was the OSCE structured and evaluated?\",\"answer\":\"Two HPS-OSCE sessions were conducted, using checklists and global rating scales, with faculty observing sessions, timing, and scoring stations and producing narrative reports after debriefing.\"},{\"question\":\"What were the key results comparing residents across training years?\",\"answer\":\"First- and second-year residents scored similarly on mean scores, and no statistical difference was found between resident scores.\"}]","Innovations in Family Medicine Education - No. 9 - Assessing Medical Decision Making Using Human Patient Simulation | PDF",1789931403]