Uses performance-based assessments to examine approaches to managing patients who require long term opioid analgesics for chronic pain.
Developer: University School of Medicine (Massachusetts Consortium)
Curriculum resource type: Objective Structured Clinical Exams (OSCE)
Method used: Performance-based assessments of clinical skills in realistic settings
Intended audience: Internal medicine and family medicine resident physicians
Implementation time: 1.5–2 hours
Additional components: Instructions for each station and standardized patient; resident performance assessment forms; OSC E experience evaluation forms; sample patient agreement form
Educational objectives:
Evaluation tools: Resident assessments by faculty, resident, and standardized patient
Curriculum resource description: The Objective Structured Clinical Exam (OSC E) is a timed, multi-station exercise that requires learners to perform specific tasks in simulated clinical encounters using standardized patients. This opioid risk management OSC E provides opioid risk management competencies using standardized patients in realistic settings and immediate observer feedback by trained faculty assessors. Performance is assessed at each station using predetermined rating scales by a small group of faculty assessors. The OSCE may serve as both an assessment tool and a formative exercise. The immediate feedback offered, as well as the opportunity for self-assessment, facilitates the enhancement or acquisition of knowledge and skills. The stations included may be easily incorporated into existing OSC Es at many institutions, or added to existing didactic sessions, seminars, academic half days, or ambulatory blocks.
Key words: Drug abuse; drug addiction; substance abuse; prescription drug abuse; opioids; opioid risk management;chronic pain