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 are found as follows:
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Drexel OSCE program - Each intern resident participates in an 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. These sessions are scheduled
during ambulatory blocks as part of the didactic curriculum. Formative feedback is provided and a compilation of the session is placed in hard copy within the Residents binder.
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Chairman Rounds / Professor Rounds - During ECLS / GIMS block, each medicine team is scheduled to round with either the Chair of Medicine or a clinical professor in the medicine department. A case is selected from the census that provides some clinical challenge or question that can be presented be the team and then developed by the facilitator. Direct observation of presentation skills and physical exam skills are emphasized in addition to a strong understanding of the patients clinical presentation and course.
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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.
