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Dissemination
of a Validated Objective Structured Clinical Examination Station Assessing Evidence-Based
Medicine Skills: Initial Progress Jonathan E Fliegel, John G Frohna,
Larry D Gruppen, Rajesh S Mangrulkar,
University of Michigan Objectives:
Skills in Evidence-Based Medicine (EBM) are among the competencies for students
and residents identified by the AAMC and ACGME. There are few published tools
that assess competence in EBM skills. We previously demonstrated the feasibility
and validity of a computer-based objective structured clinical exam (OSCE) station
in assessing the skills of large numbers of students and residents and in evaluating
changes in our student curriculum at our institution. We now seek to disseminate
our tool to other institutions and to further assess its validity.
Methods:
As part of a Collaborative Grant from the Central Group on Educational Affairs
(CGEA), we formed a working group with educators at four other institutions. We
collected qualitative demographic data using an on-line EBM Curriculum Survey.
Our collaborators have accessed our web-based validated cases and can begin to
use them to assess learner's competence. The group will develop new cases using
case development guidelines.
Results: EBM Curriculum Survey
Even among only five schools, there is a range in the amount and type of EBM curricula
for students and residents. The survey was easy to use and also identified numerous
innovative ideas.
Case Development Our group has expanded the number
of usable EBM cases, each with scoring algorithms.
Use of technology
Computer technology has both facilitated and impeded the use and dissemination
of our tool.
Conclusions: Our EBM Curriculum Survey could easily be
implemented widely and become a clearinghouse of innovative ideas. The completion
of this collaborative project should allow us to further test the feasibility,
portability and validity of our EBM OSCE station. |
