Council on Medical Student Education in Pediatrics

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COMSEP Meeting in Ottawa, ON

Poster Presentation:


Introduction of Telephone Medicine Curriculum Paired with the Transparent Group OSCE: A Pilot Study

Authors:
Fatima Aly,Paul L. Foster School of Medicine TTUHSC at El Paso,El Paso,TX,Lynn J. Hernan,Paul L. Foster School of Medicine TTUHSC at El Paso,El Paso,TX,John D. Ramirez,Paul L. Foster School of Medicine TTUHSC at El Paso,El Paso,TX

Background:  Telephone medicine is a large part of the Pediatrics.  Our students have not had formal instruction on the goals and objectives of a telephone consultation and strategies for triaging telephone complaints.  Our students who fail the OSCE often do so because they don’t seem to understand the expectations for their performance.  We piloted a new program that addresses these deficiencies.

Goals

Telephone medicine curriculum:  Understand purpose of telephone consultation, understand triage principles, and know “red flag” signs/symptoms. 

“Transparent” group OSCE:  Understand the scoring rubric used by standardized patients (SP), understand scoring rubric used to evaluate note, and increase comfort level with handling phone consultations.

Methods:  Telephone medicine curriculum goals were covered in 2 lectures.  A telephone OSCE based on these was generated.  Following the lectures, students participated in a group conference call OSCE.  One student gathered information with input from the group, and one student documented on the board with input from the group.  When the phone call was done, all students had input on the note.  The SP debriefed the students on their performance while the scoring rubric was displayed.  Faculty debriefed students on their consult note while the scoring rubric was displayed.  Their grade was calculated.  Subsequently, a questionnaire was sent out to assess the students' comfort level with the goals before and after the curriculum and OSCE.  Feedback on the experience was elicited.

Results: Fifteen of 26 students (58)% gave feedback.  Results are displayed as median (range).  Scale used:  1 – not comfortable, 2 – somewhat comfortable, 3 – comfortable, 4 – very comfortable

Goal:  Telephone Medicine

Before

After

Understand purpose of telephone consultation

2  (1-3)

4  (3-4)

Understand telephone triage principles

2  (1-3)

4  (2-4)

Know “red flag” signs and symptoms

2  (1-3)

4  (2-4)

 

Goal:  “Transparent” Group OSCE

Before

After

Understand SP scoring rubric

2  (1-3)

3  (2-4)

Understand note scoring rubric

1  (1-3)

4  (2-4)

Ability to handle telephone consultation

1  (1-3)

4  (3-4)

Student comments were generally positive with some suggestions for improvement.

Conclusions:  The telephone medicine curriculum paired with the “transparent” group OSCE was effective in meeting our goals in this pilot study.  We plan to modify the experience based on student feedback and prospectively collect data on student performance.