Abstract
IntroductionIn recent decades, deaths related to heroin, illicit fentanyl, and prescription opioids have risen in the United States. Utilizing new clinical guidelines and non-prescription naloxone, we aimed to develop a competency-based assessment for clinical skills in opioid overdose resuscitation outside of the hospital setting.MethodsAn assessment of opioid resuscitation skills, consisting of an Objective Structured Clinical Examination (OSCE) skill station-utilizing a simulation mannequin and a standardized patient portraying the patient’s relative-followed by a facilitated individual debrief, was added to the fourth year Psychiatry Boot Camp for students entering a psychiatry residency. A survey was given to students to assess the OSCE’s believability, value, and impact on confidence in managing out-of-hospital overdose.ResultsFollowing the OSCE, 2017-2019 graduating students entering a psychiatry residency (N=10) all agreed or strongly agreed that the OSCE “was realistic and believable” and “was valuable as an educational tool. Most either agreed (N=7) or strongly agreed (N=1) they felt confident of their skill in managing out-of-hospital opioid overdose. A small number (n=2) were neutral in the confidence of their skill in managing out-of-hospital opioid overdose.DiscussionBased on early medical student feedback (n=10), this OSCE skill station provides a promising competency-based assessment for opioid overdose resuscitation outside of the hospital setting. Its use could be expanded to other medical disciplines in undergraduate and graduate education.
Highlights
In recent decades, deaths related to heroin, illicit fentanyl, and prescription opioids have risen in the United States
The Objective Structured Clinical Examination (OSCE) was selected as the method by which to assess the application of this clinical knowledge as it is a well-established tool and it is well-suited for the evaluation of learners’ clinical skills in the setting of unpredictable patient behavior [17]
This opioid overdose scenario was a clinical skill station performed in the Clinical Skills & Simulation Center at our institution as part of a mandatory psychiatry boot camp for fourth-year students matched into a psychiatry residency
Summary
Deaths related to heroin, illicit fentanyl, and prescription opioids have risen in the United States. Utilizing new clinical guidelines and non-prescription naloxone, we aimed to develop a competencybased assessment for clinical skills in opioid overdose resuscitation outside of the hospital setting
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