Sam Rodilla, Knee Pain

Abstract

OPEN ACCESSJanuary 20, 2012Sam Rodilla, Knee Pain Ralitsa Akins, MD, PhD, Kanchan Pema, MD Ralitsa Akins, MD, PhD State University of New York Upstate Medical University Google Scholar More articles by this author , Kanchan Pema, MD Texas Tech University, Paul Foster School of Medicine Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9078 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstract Introduction: This is resource is an OSCE case created for use with standardized patients (SPs), for teaching and/or evaluation purposes. The case is intended for medical students, years 1–4 (depending on a medical school's type of curriculum), as well as residents and faculty development. Methods: Mr./Ms. Sam Rodilla is evaluated in outpatient clinic for new-onset right knee pain. Three days ago, s/he noted the onset of pain on the back of the left wrist, which grew worse with wrist extension. This resolved spontaneously after only 1 day. Yesterday morning, the patient began to feel pain in the right knee, worsening with bending the knee. Yesterday, the knee felt “swollen,” now, it is difficult for the patient to walk due to the pain. The recommended length of the session is 15 minutes for the learner in the patient room, 10 minutes for the patient note, and 30 minutes for debriefing with the faculty-observer (for teaching purposes only). Results: The case has been successfully implemented with students at the Texas Tech University Health Sciences Center Paul L. Foster School of Medicine. Interrater reliability was assessed on a continuous basis at the originating program, and for 20 consecutive cases, it was above 80%. Additionally, a case study was completed to review interrater reliability between SPs and faculty observers in a multiple-station high-stakes OSCE examination. Results indicated faculty and SPs matched in scoring. Discussion: This OSCE case enriches the available library of cases for teaching and examination in internal medicine, family medicine, rheumatology, and infectious diseases. It requires students to demonstrate observational skills and the ability to translate theoretical concepts to the bedside. The complexity of the case keeps students engaged and focused, and requires them to build a comprehensive differential diagnosis. The case allows teaching faculty to modify the evaluation checklists to suit a particular institution's learning objectives; in this way, even if a student has already read the case on the web, the detail and extent of evaluation remain unknown. Educational Objectives By the end of this case, learners will be able to: Apply the principles of effective communication to facilitate relationship building, data gathering, and patient education.Use appropriate questioning and physical examination to assess the condition of a patient with joint pain. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide.doc Sam Rodilla Knee Pain Resource.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© 2012 Akins and Pema. This is an open-access article distributed under the terms of the Creative Commons Attribution license.KeywordsOSCEKnee Pain Disclosures None to report. Funding/Support None to report. Loading ...