Structured Clinical Observations: A Method to Teach Clinical Skills With Limited Time and Financial Resources
- 1 April 2000
- journal article
- Published by American Academy of Pediatrics (AAP) in Pediatrics
- Vol. 105 (Supplement), 973-977
- https://doi.org/10.1542/peds.105.s3.973
Abstract
To develop and implement a methodology to teach clinical skills to medical students in busy clinical settings. The Structured Clinical Observation (SCO) program with guidelines and observation sheets for history-taking, physical examination, and information-giving skills was created. Faculty development preceded SCO implementation for pediatric clerkship students at Jefferson Children's Health Center. SCO observation sheets were tabulated and faculty and student questionnaires were administered. The mean number of observations per student was 6, with 368 observations done for 63 students. SCOs were highly rated as an educational tool by faculty and students. The impact of the SCO program on faculty ability to perform clinical duties was initially minimal, but increased over the year. Observations were used primarily for feedback, but did influence outpatient clinical faculty's evaluation of two thirds of the students. Only 50% of students reported being observed in other rotations. SCOs are a feasible, inexpensive, qualitatively effective method of teaching clinical skills. The quantitative effect of SCOs on performance needs to be evaluated.Keywords
This publication has 12 references indexed in Scilit:
- Shortcomings in the evaluation of studentsʼ clinical skills and behaviors in medical schoolAcademic Medicine, 1999
- Teaching and learning in ambulatory care settingsAcademic Medicine, 1995
- Medical Interviewing and Interpersonal Skills Teaching in US Medical SchoolsJAMA, 1993
- An analysis of paediatric diagnostic decision-making: how should students be taught?Medical Education, 1992
- Retention of interviewing skills learned by first-year medical students: a longitudinal studyMedical Education, 1992
- To what extent are medical interviewing skills teachable?Medical Teacher, 1990
- Therapeutic aspects of the clinical encounterJournal of General Internal Medicine, 1987
- Clinical Teaching Strategies for PhysiciansMedical Teacher, 1985
- The effects of physician communications skills on patient satisfaction; Recall, and adherenceJournal of Chronic Diseases, 1984
- Feedback in Clinical Medical EducationJAMA, 1983