Isis Olivia Lunsky, Queen's University School of Medicine, Kingston, ON, Canada; Gilmar Gutierrez, Kingston Health Sciences Center, Kingston, ON, Canada; Olivier Rabu, Michael G. DeGroote School of Medicine, Hamilton, ON, Canada; Meg Gemmill and Debra Hamer, Kingston Health Sciences Center, Kingston, ON, Canada.
Am J Intellect Dev Disabil. 2024 Nov 1;129(6):476-489. doi: 10.1352/1944-7558-129.6.476.
Medical professionals commonly report having inadequate training providing care for individuals with intellectual and developmental disabilities (IDD). This pilot study aimed to address this gap through a virtual Objective Structured Clinical Examinations (OSCE) with individuals with IDD as patient educators for 25 first- and second-year medical students (OSCE participants). Quantitative data through the Prediger competency scale and qualitative data through a semistructured interview were analyzed. OSCE participants reported a significant increase (p < 0.05) in self-perceived competency scores when comparing pre- and post-OSCE scores. Qualitative analysis yielded themes corresponding to improving skills, practice considerations, and perspectives and biases changes. These results suggested that this virtual OSCE promoted the development of self-perceived clinical competency and comfort providing care for individuals with IDD.
医学专业人员普遍反映,他们在为智力和发育障碍(IDD)患者提供护理方面的培训不足。这项试点研究旨在通过让 IDD 患者作为患者教育者为 25 名医学生(OSCE 参与者)进行虚拟客观结构化临床考试(OSCE)来解决这一差距。通过 Prediger 能力量表分析定量数据,并通过半结构化访谈分析定性数据。OSCE 参与者报告说,与 OSCE 前后的分数相比,自我感知能力得分显著提高(p < 0.05)。定性分析得出的主题与提高技能、实践考虑因素以及观点和偏见的改变相对应。这些结果表明,这种虚拟 OSCE 促进了自我感知临床能力的发展,并为提供 IDD 患者护理提供了舒适感。