Presented at the Triological Society Annual Meeting at the Combined Otolaryngology Spring Meeting (COSM), Las Vegas, Nevada, U.S.A., May 1, 2010.
Development and pilot testing of an objective structured clinical examination (OSCE) on hoarseness†
Article first published online: 7 SEP 2010
Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 120, Issue 11, pages 2177–2182, November 2010
How to Cite
Stewart, C. M., Masood, H., Pandian, V., Laeeq, K., Akst, L., Francis, H. W. and Bhatti, N. I. (2010), Development and pilot testing of an objective structured clinical examination (OSCE) on hoarseness. The Laryngoscope, 120: 2177–2182. doi: 10.1002/lary.21095
- Issue published online: 22 OCT 2010
- Article first published online: 7 SEP 2010
- Manuscript Accepted: 24 MAY 2010
- objective structured clinical examination (OSCE);
- Level of Evidence: 1b.
To develop a valid and reliable tool for an objective structured clinical examination (OSCE) on hoarseness. To pilot-test the feasibility by assessing residents' clinical skills in various core competencies while assessing hoarseness on a standardized patient (SP).
Educational tool development.
The OSCE checklists were developed using modified Delphi technique after obtaining feedback from faculty involved in providing care to hoarseness patients. SP-based and rest stations were created to assess clinical skills. Twelve Otolaryngology–Head and Neck Surgery residents participated in the study. Video recordings of residents' performance and their written documentation were rated by faculty members.
The OSCE that we developed is a valid method of assessing residents' clinical skills for evaluating hoarseness. Senior residents performed better in all of the tasks such as obtaining history and performing a physical exam on an SP, ability to perform flexible laryngoscopy on a mannequin, and interpretation of radiologic findings. Internal consistency assessed by Cronbach's alpha as measure of inter-item reliability was 0.92 for laryngoscopic station and 0.95 for radiology station.
This OSCE can be effectively used for the objective assessment of clinical competency in hoarseness. Our pilot study evaluated multiple competencies on a single occasion, including medical knowledge, patient care, professionalism, and communication and interpersonal skills. Clinical competence in history taking, physical examination, flexible fiber-optic laryngoscopy, and ability to interpret radiologic findings improved with increasing year of training. This OSCE provides targeted assessment of practice-based learning and feedback for improvement of clinical performance. Laryngoscope, 2010