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.
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。