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Objective Structured Clinical Examinations: A Guide to Development and Implementation in Orthopaedic Residency

Phillips, Donna MD; Zuckerman, Joseph D. MD; Strauss, Eric J. MD; Egol, Kenneth A. MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: October 2013 - Volume 21 - Issue 10 - p 592–600
doi: 10.5435/JAAOS-21-10-592
Review Article

Objective Structured Clinical Examinations (OSCEs) have been used extensively in medical schools and residency programs to evaluate various skills, including the six core competencies outlined by the Accreditation Council for Graduate Medical Education (ACGME). Orthopaedic surgery residency programs will be required by the ACGME to assess residents on core competencies in the Milestone Project. Thus, it is important that evaluations be made in a consistent, objective manner. Orthopaedic residency programs can also use simulation models in the examination to accurately and objectively assess residents' skills as they progress through training. The use of these models will become essential as resident work hours are decreased and opportunities to observe skills become more limited. In addition to providing a method to assess competency, OSCEs are a valuable tool for residents to develop and practice important clinical skills. Here, we describe a method for developing a successful OSCE for use in orthopaedic surgical resident training.

From Bellevue Hospital Center (Dr. Phillips) and the Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY (Dr. Zuckerman, Dr. Strauss, and Dr. Egol).

Dr. Phillips or an immediate family member is a member of a speakers' bureau or has made paid presentations on behalf of Human Genome Sciences/GlaxoSmithKline and has stock or stock options held in Johnson & Johnson, Pfizer, and Medtronic. Dr. Zuckerman or an immediate family member has received royalties from Exactech; has stock or stock options held in Hip Innovation Technology and NeoStem; has received nonincome support (such as equipment or services), commercially derived honoraria, or other non-research-related funding (such as paid travel) from OrthoNet; and serves as a board member, owner, officer, or committee member of the American Orthopaedic Association, the Musculoskeletal Transplant Foundation, and the Orthopaedic Research and Education Foundation. Dr. Strauss or an immediate family member has received research or institutional support from Omeros and Dynasplint Systems. Dr. Egol or an immediate family member has received royalties from and serves as a paid consultant to Exactech and has received research or institutional support from Synthes, the Orthopaedic Research and Education Foundation, the Orthopaedic Trauma Association, and OMeGA Medical Grants Association.

© 2013 by American Academy of Orthopaedic Surgeons
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