Abstract：
BACKGROUND: There is little consensus on how to make a diagnosis announcement of severe chronic disease in neurology. Other medical specialties, such as oncology, have developed assessment methods similar to the Objective Structured Clinical Examination (OSCE) to address this issue. Here we report the implementation of an OSCE focused on the diagnosis announcement of chronic disease in neurology by residents.
OBJECTIVE: We aimed to evaluate the acceptability, feasibility and validity in routine practice of an OSCE combined with a theoretical course focused on diagnosis announcement in neurology.
METHODS: Eighteen neurology residents were prospectively included between 2019 and 2022. First, they answered a questionnaire on their previous level of training in diagnosis announcement. Second, in a practical session with a simulated patient, they made a 15-min diagnosis announcement and then had 5mins of immediate feedback with an expert observer, present in the room. The OSCE consisted of 4 different stations, with standardized scenarios dedicated to the announcement of multiple sclerosis (MS), Parkinson\'s disease (PD), Alzheimer\'s disease (AD) and amyotrophic lateral sclerosis (ALS). Third, in a theory session, expert observers covered the essential theoretical points. All residents and expert observers completed an evaluation of the \"practical session\" and the \"theory session\".
RESULTS: Residents estimated their previous level of diagnosis announcement training at 3.1/5. The most feared announcements were AD and ALS. The \"practical session\" was rated at a mean of 4.1/5 by the residents and 4.8/5 by the expert observers, and the \"theory session\" at a mean of 4.7/5 by the residents and 5/5 by the expert observers. After the OSCEs, 11 residents felt more confident about making an announcement.
CONCLUSIONS: This study has shown a benefit of using an OSCE to learn how to make a diagnosis announcement of severe chronic disease in neurology. OSCEs could be used in many departments in routine practice and seem adapted to residents.
OBJECTIVE: We aimed to evaluate the acceptability, feasibility and validity in routine practice of an OSCE combined with a theoretical course focused on diagnosis announcement in neurology.
METHODS: Eighteen neurology residents were prospectively included between 2019 and 2022. First, they answered a questionnaire on their previous level of training in diagnosis announcement. Second, in a practical session with a simulated patient, they made a 15-min diagnosis announcement and then had 5mins of immediate feedback with an expert observer, present in the room. The OSCE consisted of 4 different stations, with standardized scenarios dedicated to the announcement of multiple sclerosis (MS), Parkinson\'s disease (PD), Alzheimer\'s disease (AD) and amyotrophic lateral sclerosis (ALS). Third, in a theory session, expert observers covered the essential theoretical points. All residents and expert observers completed an evaluation of the \"practical session\" and the \"theory session\".
RESULTS: Residents estimated their previous level of diagnosis announcement training at 3.1/5. The most feared announcements were AD and ALS. The \"practical session\" was rated at a mean of 4.1/5 by the residents and 4.8/5 by the expert observers, and the \"theory session\" at a mean of 4.7/5 by the residents and 5/5 by the expert observers. After the OSCEs, 11 residents felt more confident about making an announcement.
CONCLUSIONS: This study has shown a benefit of using an OSCE to learn how to make a diagnosis announcement of severe chronic disease in neurology. OSCEs could be used in many departments in routine practice and seem adapted to residents.
摘要：
背景：关于如何在神经病学中对严重的慢性疾病进行诊断，目前尚无共识。其他医学专业,比如肿瘤学，已经开发了类似于客观结构化临床检查（OSCE）的评估方法来解决这个问题。在这里，我们报告了OSCE的实施情况，重点是居民对神经病学慢性疾病的诊断公告。
目的：我们旨在评估可接受性，OSCE常规实践中的可行性和有效性，以及专注于神经病学诊断公告的理论课程。
方法：在2019年至2022年期间，前瞻性纳入了18名神经科居民。首先,他们回答了一份关于他们以前的诊断公告培训水平的问卷。第二,在与模拟病人的实际会议中，他们发布了15分钟的诊断公告，然后与专家观察员进行了5分钟的即时反馈，礼物在房间里。欧安组织由4个不同的电台组成,致力于宣布多发性硬化症（MS）的标准化方案，帕金森病（PD），阿尔茨海默病（AD）和肌萎缩侧索硬化症（ALS）。第三，在理论会议上，专家观察员涵盖了基本的理论观点。所有居民和专家观察员都完成了对“实践会议”和“理论会议”的评估。
结果：居民估计他们以前的诊断公告培训水平为3.1/5。最令人恐惧的公告是AD和ALS。居民对"实践会议"的平均评分为4.1/5,专家观察员对"实践会议"的平均评分为4.8/5,居民平均为4.7/5，专家观察员平均为5/5。在OSCEs之后，11名居民对宣布更有信心。
结论：这项研究表明，使用OSCE学习如何在神经病学中做出严重慢性疾病的诊断公告是有益的。OSCEs可以在常规实践中用于许多部门，并且似乎适合居民。
目的：我们旨在评估可接受性，OSCE常规实践中的可行性和有效性，以及专注于神经病学诊断公告的理论课程。
方法：在2019年至2022年期间，前瞻性纳入了18名神经科居民。首先,他们回答了一份关于他们以前的诊断公告培训水平的问卷。第二,在与模拟病人的实际会议中，他们发布了15分钟的诊断公告，然后与专家观察员进行了5分钟的即时反馈，礼物在房间里。欧安组织由4个不同的电台组成,致力于宣布多发性硬化症（MS）的标准化方案，帕金森病（PD），阿尔茨海默病（AD）和肌萎缩侧索硬化症（ALS）。第三，在理论会议上，专家观察员涵盖了基本的理论观点。所有居民和专家观察员都完成了对“实践会议”和“理论会议”的评估。
结果：居民估计他们以前的诊断公告培训水平为3.1/5。最令人恐惧的公告是AD和ALS。居民对"实践会议"的平均评分为4.1/5,专家观察员对"实践会议"的平均评分为4.8/5,居民平均为4.7/5，专家观察员平均为5/5。在OSCEs之后，11名居民对宣布更有信心。
结论：这项研究表明，使用OSCE学习如何在神经病学中做出严重慢性疾病的诊断公告是有益的。OSCEs可以在常规实践中用于许多部门，并且似乎适合居民。
