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Our program is part of the national group, Pediatric OSCE Collaboration of Canada (POCC). POCC was created, in part to better understand resident performance and look for differences between programs across the country, and to better prepare residents for their final year Royal College OSCE examination. Each year POCC members create new stations, or revise old stations, that are shared for all programs to run OSCEs in the fall and in the spring. Stations are developed based on the format of the Royal College OSCE examination.
Our program is part of the national group, Pediatric OSCE Collaboration of Canada (POCC). POCC was created, in part to better understand resident performance and look for differences between programs across the country, and to better prepare residents for their final year Royal College OSCE examination. Each year POCC members create new stations, or revise old stations, that are shared for all programs to run OSCEs in the fall and in the spring. Stations are developed based on the format of the Royal College OSCE examination.
Overview:
Overview:
This applies to both virtual OSCE's (VOSCE's) and in person OSCE's.
Each station will be 15 minutes long; some will have a post-encounter probe (PEP), some will not. When possible a standardized patient/actor will be used, other times the examiner may be doing a role-playing exercise.
R1, R2 and R3 residents are required to attend two OSCEs per year, one in the fall and one in the spring. Two dates will be available for each, ie. two fall dates, two spring dates. Each of the two dates will be comprised of the same stations. This means the same OSCE would be offered two times. As the same OSCE would be offered on two separate dates, in order to maintain the integrity of the stations and to ensure that all residents experience the maximum academic value from the stations, it is expected that the content of OSCE stations are not discussed or circulated among the resident group.
Confirmation of each OSCE will be sent at least 2 weeks prior to the set date. As schedules often change, residents will be required to return their intent to participate, by the designated RSVP date. If residents do not respond, it may be assumed they will not participate. Late responses may not be accommodated. It's the resident's responsibility to include the night before their OSCE in their call requests.
Both Examiners and Residents are expected to be on time and ready to go by the designated time as set by the Education office. A Resident, who arrives late, may not be permitted to participate in the OSCE exam, and could result in a professionalism flag on the resident's file.
R4 OSCES, separate from the R1-R3 group, will be available throughout the academic year, and the R4s and subspecialty residents are encouraged to attend as many as possible. While priority is given to the GenPeds residents and subspecialty residents, there are often other individuals who are not registered in a training program who request to participate. These individuals are given spots on a first come first serve basis, after the GenPeds and subspecialty residents have confirmed their participation, so it is essential that RSVP deadlines are met to ensure you have a spot in the practice OSCEs.
Feedback on resident performance at each station will be provided immediately after the OSCE. In addition, residents are welcome to request to review their score sheets at any time. However, residents are not permitted to keep their score sheets or photocopy them.
OSCE marks are reviewed semi-annually by the Competence Committee and during 6-month evaluations between the resident and Program Director. The purpose of this is to monitor the residents' continued success during residency, as well as to identify (as early as possible) residents who may be experiencing academic difficulties.
Utility
Utility
formative learning experience
practice exam for RCPSC OSCE Exam
flag for RPC re: residents in various CANMEDs roles (esp. Medical Expert, Communicator roles)
Timing
Timing
Twice a year (fall, spring) for R1,2,3s held during an AHD afternoon
Additional exams for R4s, held during an AHD afternoon
'Successful' Outcome
'Successful' Outcome
Peer normative data and if greater than one standard deviation below stage cohort results reviewed in further detail and coaching provided. If other evaluation data also identifies specific areas for growth aligning with OSCE results this further informs individualized learning plans.
Program Response if 'Successful' Outcome not Achieved
Program Response if 'Successful' Outcome not Achieved
The resident will be required to participate in the next two In-training OSCEs (i.e. will miss outside electives; remote possibility of rescheduling vacation plans may be required).
Not showing up for an OSCE to which the resident had confirmed attendance and did not have a legitimate excuse, will be a professionalism flag on the resident’s file.
If a theme is noted on comments from OSCE station examiners the program will develop learning plans accordingly:
e.g.: if significant problem with the Medical Expert role is noted and the resident has workplace based assessments noting deficiencies in the Medical Expert role in that academic year, additional learning plans will be developed
If significant problem with the Communicator role is identified, the program will offer resident remediation in this role (e.g. specific mentoring, support through Faculty of Medicine office)
Ultimately: OSCE performance is a component of our evaluation matrix and failure to take advantage of offered support will be noted in Professional concerns.
Any resident who fails to show improvement on the OSCEs will be reviewed by the Competence Committee and Academic Concerns of RPC. Failure to show improvement in multiple assessment areas may guide the RPC regarding decisions of learning plans.
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