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Abstract Details

A Qualitative Analysis of Communication-focused Feedback Provided to Child Neurology Residents During an Objective Structured Clinical Exam (OSCE)
好色先生, Research, and Methodology
P4 - Poster Session 4 (11:45 AM-12:45 PM)
7-003
To evaluate feedback provided to child neurology residents by standardized patients (SPs) during a communication-focused OSCE for common themes and identify which elements of communication feedback are most valuable to the residents.
Child neurology is a specialty with unique challenges in communication. This is due to many complex disorders with a wide array of prognoses and treatments as well as the need to communicate at various developmental levels. Limited literature exists regarding effective communication training during child neurology residency.
The child neurology residency at Nationwide Children’s Hospital previously developed a set of OSCE cases to assess residents on their communication skills. Using a qualitative approach, we utilized content analysis to identify themes from the feedback residents received from SPs and faculty observers. After themes were identified, we held a focus group with residents to identify which themes contained helpful feedback.
Residents found feedback from both SPs and faculty observers to be important, and how information was delivered was identified as the most impactful type of feedback. Residents appreciated positive feedback from SPs and faculty, especially when aimed at reinforcing a specific behavior that was done well. Feedback that residents identified as particularly helpful, although not commonly provided, was the recognition of a potential unconscious bias in an encounter. Feedback the residents found less useful was discussing the medical specifics of the case and identifying filler words and behaviors that are highly variable among individuals.
OSCEs can be an effective tool to provide child neurology residents with immediate feedback on their communication skills with difficult conversations in a safe environment. Residents find value in feedback from both the SPs and faculty observers. Certain elements of feedback are more helpful than others. This knowledge could be used to develop an assessment tool for child neurology-specific communication simulation.
Authors/Disclosures
Dara V. Albert, DO, FAAN (Nationwide Children's Hospital)
PRESENTER 		Dr. Albert has nothing to disclose.
Cindy Ho Ms. Ho has nothing to disclose.
Pedro Weisleder, MD, PhD, FAAN (Nationwide Children'S Hospital) Dr. Weisleder has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Elsevier .
Margie A. Ream, MD, PhD, FAAN (Nationwide Children'S Hospital/The Ohio State University) Dr. Ream has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Bluebird Bio. Dr. Ream has received personal compensation in the range of $0-$499 for serving as an officer or member of the Board of Directors for United Council for Neurologic Subspecialties. Dr. Ream has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for Rushton, Stakely, Johnston & Garrett, P.A. . Dr. Ream has received personal compensation in the range of $10,000-$49,999 for serving as a Evidence Review Group member with Health Resources and Services Administration. Dr. Ream has received personal compensation in the range of $0-$499 for serving as a Organizational representative with Child Neurology Society.