abstract: Assessing residents' disclosure of adverse events: traditional objective structured clinical examinations versus mixed reality.

Assessing residents' disclosure of adv... [J Obstet Gynaecol Can. 2012] - PubMed - NCBI

J Obstet Gynaecol Can. 2012 Apr;34(4):367-73.

Department of Obstetrics and Gynecology, University of Ottawa, Ottawa ON.

Abstract

Objective: 
The skill of disclosing adverse events is difficult to assess. Assessment of this competency in medical trainees is commonly achieved via the objective structured clinical examination (OSCE) using a standardized patient (SP). We hypothesized that the addition of a simulated clinical adverse event prior to the SP encounter could increase trainees' engagement and empathy, thereby improving performance. The objective of this study was to explore whether experiencing a simulated adverse event prior to an SP encounter alters resident performance on a disclosure OSCE.


Conclusion: 
The assessment of adverse event disclosure was not enhanced by the addition of a simulated experience. Study participants reported that the simulation did not provide the contextual information required to elicit empathy and a sense of being emotionally invested in the adverse event.