Abstract
BackgroundWe established Zambia's first neurology residency program at the University of Zambia School of Medicine and the University Teaching Hospital in Lusaka.ObjectiveTo evaluate the feasibility and effectiveness of a modified objective structured clinical examination (OSCE) to assess clinical skills.MethodsThe neurology training program's 3 participants completed the OSCE exercise in February 2019. We used smartphones to videotape trainees performing a physical examination and oral presentation in the neurology clinic. Trainees and faculty reviewed the videos independently using a standardized rubric and then met for in-person feedback.ResultsThree trainees completed pre- and post-OSCE surveys rating their confidence in elements of the history and examination. Trainees' average self-confidence scores improved from the pre- to post-OSCE survey in every category (pre-OSCE: mean score 6.84, range 4.8–7.8, SD 0.92; post-OSCE: mean score 7.9, range 5.67–9.33, SD 0.86). Qualitative feedback showed trainees found the OSCE helpful, routinely applied feedback, and would appreciate repeating OSCEs.ConclusionsOSCEs improve trainees' self-confidence and can be modified and successfully implemented in a resource-limited neurology postgraduate training program. Important OSCE modifications involved using smartphones for videotaping and a real patient encounter rather than a standardized patient. Embedding the experience within a busy clinic day was practical, applicable, and efficient. Future work should expand use of OSCEs both within the Zambian neurology residency program and non-neurology training programs. Including additional video reviewers could add to the validity of clinical skills assessment. Videos could also be used for remote mentorship and teaching purposes.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Reference7 articles.
1. The World Bank, The World Bank Group. Zambia, 2019 data. Accessed May 12, 2020. https://www.worldbank.org/en/country/zambia
2. Centers for Disease Control and Prevention. CDC in Zambia. Accessed May 9, 2021. cdc.gov/globalhealth/countries/zambia/
3. Siddiqi O . Developing neurological care in Zambia. In: Center BIDM, ed. 2015. unaids.org/en/regionscountries/countries/zambia.
4. Neurology training programs worldwide: A world federation of neurology survey
5. Developing performance-based medical school assessment programs in resource-limited environments;Vargas;Med Teach.,2007
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
1. Global Barriers to the Diagnosis of Multiple Sclerosis;Neurology;2023-08-08
2. Practice of Sleep Medicine in Zambia;The Practice of Sleep Medicine Around The World: Challenges, Knowledge Gaps and Unique Needs;2023-03-01