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Teach Learn Med. 2010 Oct;22(4):280-6. doi: 10.1080/10401334.2010.512545.

Introduction of a direct observation program into a pediatric resident continuity clinic: feasibility, acceptability, and effect on resident feedback.

Teaching and learning in medicine

Laura Dattner, Joseph O Lopreiato

Affiliations

  1. Department of Pediatrics, State University of New York Downstate Medical Center, Children's Hospital at Downstate,Brooklyn, New York 11203, USA. [email protected]

PMID: 20936575 DOI: 10.1080/10401334.2010.512545

Abstract

BACKGROUND: Direct observations of trainee performance are essential to the evaluation of clinical skills, and are now required by the Accreditation Council on Graduate Medical Education (ACGME).

PURPOSE: We sought to describe the feasibility and acceptability of a direct observation program in a pediatric resident clinic, and evaluate its effect on feedback.

METHODS: We modified the Structured Clinical Observation (SCO) for use in a pediatric resident clinic. Preceptors and residents were asked about the frequency and content of feedback given before and after the introduction of the observations.

RESULTS: One-hundred-sixty-six structured clinical observations were performed. Their use increased the frequency of feedback provided, and resulted in more feedback on listening skills and less feedback on medical knowledge and decision making.

CONCLUSIONS: Structured clinical observations can be successfully introduced into a pediatric resident continuity clinic. This is a valuable supplement to the traditional precepting, and fulfills the mandate to include direct observations in the assessment of residents' clinical competence.

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