Disclosure of Adverse Events - An OSCE Series for OB/GYN Residents

Abstract

OPEN ACCESSJuly 19, 2011Disclosure of Adverse Events - An OSCE Series for OB/GYN Residents Glenn Posner, MDCM, FRCSC, MEd, Amy Nakajima, MD, FRCSC Glenn Posner, MDCM, FRCSC, MEd University of Ottawa Faculty of Medicine Google Scholar More articles by this author , Amy Nakajima, MD, FRCSC University of Ottawa Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.8480 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstractDisclosing adverse events to patients after a poor outcome is an essential task involving both communication skills and professionalism.Assessing an individual resident's ability to perform a disclosure meeting during a clinical rotation is important, as it ensures clinical competency and is essential in minimizing medico-legal risk. However, disclosures may be difficult to teach and assess during clinical rotations. This opportunity may not arise during the rotation, and an attending physician may not be present during the occasion whereby the resident performs an act of disclosure. Furthermore, the attending staff may not be consistent in their expectations of what constitutes an adequate disclosure meeting. Objective structured clinical exams (OSCEs) can allow an opportunity to assess these skills.An OSCE station with a standardized patient (SP) allows an opportunity to evaluate these skills. The objective of this resource is to assess residents' communication skills involving the disclosure of a poor outcome to a SP using a patient encounter OSCE. Three OSCEs are presented here, with the intention that they be used as a pretest, a posttest after formal instruction in disclosure, and a delayed posttest to assess for long-term learning. In the first two stations, the disclosure OSCE is paired with, and preceded by, a counseling OSCE station. The residents are evaluated using guidelines for the disclosure of adverse events developed by the Canadian Patient Safety Institute and published by the Canadian Medical Protective Association. These OSCEs have been used successfully at our institution to assess disclosure, and are the subject of two scholarly papers (pending publication) on disclosure. Educational Objectives By the end of the module, the learner will be able to: Demonstrate medical expertise related to the specific clinical scenarios presented.Understand patient-safety competencies.Demonstrate communication skills involved in the disclosure of adverse events. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide Disclosure.doc BreechECV counseling OSCE.doc BreechECV disclosure SP instructions OSCE.doc BreechECV Disclosure1 OSCE.doc BreechECV sign1 OSCE.doc BreechECV sign2 OSCE.doc Cordprolapse Disclosure3 OSCE.doc Cordprolapse sign disclosure3 OSCE.doc Cordprolapse SP instructions OSCE.doc CSOD Counseling OSCE.doc CSOD disclosure SP instructions OSCE.doc CSOD Disclosure2 OSCE.doc CSOD sign1 OSCE.doc CSOD sign2 OSCE.doc To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. Copyright & Permissions© 2011 Posner and Nakajima. This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike license.KeywordsTruth DisclosureCesarean SectionExternal Cephalic VersionInadvertent CystotomyOSCEBreech PresentationFetal VersionIatrogenic Cord Prolapse Disclosures None to report. Funding/Support None to report. Prior Presentations Posner G, Nakajima A, Sydor D. Simulating Safety: Communication, Teamwork and Disclosure of Adverse Events. Workshop presented at: Simulation Summit; 2010; Toronto, Ontario, Canada. Posner G. Innovative OSCE stations for the assessment of the non-medical-expert CanMEDS roles. Workshop presented at: Canadian Conference on Medical Education; St.John's, Newfoundland, Canada. Posner G, Naik V, Bidlake E, Nakajima A, Sohmer B, Arab A, Varpio L. Disclosure of Adverse Events: Patient Encounter vs. Mixed Reality. Presented at: Simulation Summit; 2010; Toronto, Ontario, Canada. Posner G, Nakajima A. Assessing Residents' Communication Skills: Disclosure of Adverse Events. Presented at: International Conference on Residency Education; Victoria, British Columbia, Canada. Loading ...