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How the proposed research will advance assessment in resident education: Currently, there are few measures of Systems-Based Practice to use in assessing residents. The proposed research will advance assessment in resident education by investigating an innovative, objective method of assessing the ACGME competency of Systems Based Practice. This new method of assessment, the OSSIE, will be a modification of the traditional OSCE. A simulation of interaction with other members of the health care team will capture abilities needed for physicians in today’s complex health care system. By using the OSSIE, faculty will be able to provide constructive feedback to each resident to enable improvement in Systems-Based Practice.
The Great Gatsby, by F. Scott Fitzgerald : Chapter 1
Assessment measures to be evaluated include self rating of team skills, peer rating of team skills, observer ratings of team skills, and analysis of communication content. We will first refine these assessment methods for application in the medical education environment. We will design and conduct a seminar covering team coordination principles for first year medical students. Approximately 30 medical students will be video and audio taped over four small group problem based learning sessions. Raters will use a tool designed to count specific types of communications and behaviors to code and then rate each student's performance. The same students will also be assessed in two patient care scenarios using a human patient simulator. The scenarios will be designed to require the coordination of three students with defined roles. We will compare results of measures in the small group and simulated team exercise to determine degree of relationship. In addition, we will investigate the relationship between individual team skill assessment measures and objective measures of team performance in the simulated scenario to determine whether the skill assessment measures are predictive of actual care performance.