Direct Observation
Direct Observation has been found to be a great tool for developing introspection and fostering change based on individualized feedback. Within our Residency program, direct observation is achieved through multiple mechanisms. The main methods used:
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OSCE program - Each intern resident participates in mulitple OSCE (Observed Standardized Clinical encounter) that is then reviewed with a Medical educator and Core faculty provider. These sessions are focused around professionalism, developing a patient-centered approach and agenda setting. Formative feedback is provided and a compilation of the session is placed in hard copy within the Residents binder.
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Mini-CEX - Each resident undergoes approximately four Mini-Clinical examination encounters. This provides direct observation of one aspect of the clinical encounter: the information gathering, the physical exam or the plan / counseling section. The resident is then provided with immediate feedback on their performance and progress if applicable. A formal Mini-CEX form is completed either online or hard copy and placed in the residents binder for their record.
