Division of Gastroenterology, NYU Langone School of Medicine, New York, New York, USA.
Am J Gastroenterol. 2011 Aug;106(8):1410-4. doi: 10.1038/ajg.2011.107.
Gastroenterology (GI) training programs are mandated to teach fellows interpersonal communication and professionalism as basic competencies. We sought to assess important skill sets used by our fellows but not formally observed or measured: handoffs, telephone management, and note writing. We designed an Observed Standardized Clinical Examination (OSCE) form and provided the faculty with checklists to rate fellows' performance on specific criteria.
We created two new scenarios: a handoff between a tired overnight senior fellow on call and a more junior fellow, and a telephone management case of an ulcerative colitis flare. Fellows wrote a progress notes documenting the encounters. To add educational value, we gave the participants references about handoff communication. Four OSCE stations-handoff communication, telephone management, informed consent, and delivering bad news-were completed by fellows and observed by faculty.
Eight faculty members and eight fellows from four GI training programs participated. All the fellows agreed that handoffs can be important learning opportunities and can be improved if they are structured, and that handoff skills can improve with practice.
OSCEs can serve as practicums for assessing complex skill sets such as handoff communication and telephone management.
胃肠病学（GI）培训计划要求学员掌握人际沟通和专业精神等基本能力。我们试图评估学员使用但未正式观察或衡量的重要技能：交接班、电话管理和记录书写。我们设计了一个观察标准化临床考试（OSCE）表格，并为教师提供检查表，以评估学员在特定标准下的表现。
我们创建了两个新场景：一个是疲惫的夜间高级研究员与更年轻的研究员之间的交接班，另一个是溃疡性结肠炎发作的电话管理案例。学员们记录了遇到的情况。为了增加教育价值，我们为参与者提供了交接班沟通的参考资料。学员们完成了四个 OSCE 站——交接班沟通、电话管理、知情同意和传达坏消息——并由教师观察。
来自四个胃肠病学培训计划的 8 名教师和 8 名学员参加了。所有学员都认为交接班是重要的学习机会，如果有结构，可以改进，交接班技能可以通过实践提高。
OSCE 可以作为评估交接班沟通和电话管理等复杂技能的实践。
