OSCEs and Psychological Safety: A Crucial Factor for Standardized Patients, Faculty and Learners

Date:  Sunday 6 September 2020
Time:  1330-1630
Location:  Boisdale 1, SEC Loch Suite

  • Elizabeth Kachur, Medical Education Development, Global Consulting, USA
  • Lisa Altshuler, New York University Langone Health, USA
  • Anthony Errichetti, National Board of Osteopathic Medical Examiners, USA
  • Chaoyan Dong, Sengkang General Hospital, Singapore
  • Sheng-Po Kao, Hualien Tzu Chi General Hospital, Taiwan
  • Lee YuenJenny Wong, Yishun Health, Singapore

Summary of theme and why it is important:  OSCEs can be very stressful, whether they are formative or summative. Timed rotations, standardization aims, rating forms and high expectations, can interfere with achieving the desired outcomes. Without feeling safe individuals will avoid taking risks, some of which may be necessary for optimal performance: learners may be too anxious to ask sensitive questions required for an accurate diagnosis; standardized patients may not portray the scripted emotions adequately because they worry about being judged; observing faculty may hesitate to address certain aspects of the learner’s behavior because they do not feel supported by the program. Addressing psychological safety can be challenging since problems typically develop internally, sometimes even unknown to individuals themselves. Yet, the lack of safety can derail the effectiveness of the formative or summative OSCE assessment. In recognition of such concerns organizations such as the Association of Standardized Patient Educators developed Standards of Best Practice (SOBPs) that include the “Safe Work Environment” domain. This workshop will analyze various threats to psychological safety in OSCEs and participants will develop prevention and management strategies by sharing experiences and exploring new ideas.
What participants will gain:  By the end of the workshop participants will be able to: 1. Discuss efforts by professional organizations to develop guidelines that address psychological safety 2. List 3 OSCE scenarios where psychological safety can be at risk 3. Construct a plan to raise the level of psychological safety for all individuals engaged in OSCEs
Who should participate:  Individuals involved in the development and implementation of formative and/or summative OSCEs.
Level of workshop:  intermediate to advanced

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