title: An Objective Structured Clinical Examination to Improve Formative Assessment for Senior Pediatrics Residents.
abstract: BACKGROUND
  Residency programs are developing new methods to assess resident competence and to improve the quality of formative assessment and feedback to trainees. Simulation is a valuable tool for giving formative feedback to residents.
  
  
  OBJECTIVE
  To develop an objective structured clinical examination (OSCE) to improve formative assessment of senior pediatrics residents.
  
  
  METHODS
  We developed a multistation examination using various simulation formats to assess the skills of senior pediatrics residents in communication and acute resuscitation. We measured several logistical factors (staffing and program costs) to determine the feasibility of such a program.
  
  
  RESULTS
  Thirty-one residents participated in the assessment program over a 3-month period. Residents received formative feedback comparing their performance to both a standard task checklist and to peers' performance. The program required 16 faculty members per session, and had a cost of $624 per resident.
  
  
  CONCLUSIONS
  A concentrated assessment program using simulation can be a valuable tool to assess residents' skills in communication and acute resuscitation and provide directed formative feedback. However, such a program requires considerable financial and staffing resources.
authors.forename: Karen A
authors.initials: KA
authors.lastname: Mangold
authors.forename: Justin M
authors.initials: JM
authors.lastname: Jeffers
authors.forename: Rebekah A
authors.initials: RA
authors.lastname: Burns
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Trainor
authors.forename: Sharon M
authors.initials: SM
authors.lastname: Unti
authors.forename: Walter
authors.initials: W
authors.lastname: Eppich
authors.forename: Mark D
authors.initials: MD
authors.lastname: Adler
mesh_terms: D002641:Chicago; D002983:Clinical Competence; D003142:Communication; D004521:Educational Measurement / Q000191:economics / Q000379:methods*; D005246:Feedback; D006776:Hospitals, Pediatric; D006801:Humans; D007396:Internship and Residency; D010372:Pediatrics / Q000193:education*; D015397:Program Evaluation; D012151:Resuscitation; D000066908:Simulation Training