A clinical performance exercise for medicine--pediatrics residents emphasizing XXXX .

@entity1 @entity2673 @entity645 @entity458
PURPOSE: To assess the skills of internal medicine-pediatrics (med-peds) residents in evaluating and counseling @entity1 with @entity2673 using a clinical performance exercise (CPE). METHOD: The authors designed a 13-station CPE [nine standardized- @entity1 (SP) stations and four non-SP stations]. Eight of the SP stations focused on counseling or assessing complex psychosocial needs, and three were videotaped and analyzed for specific verbal and nonverbal communication skills. Residents completed a written task for each station and SPs completed a checklist on interviewing and communication skills and a 52-item @entity1 's-satisfaction survey. All first- and third-year residents (n = 25) from two academic years participated. RESULTS: The range of the average scores on the nine SP stations was 43-75%. The residents performed better with common problems (newborn hospital discharge instructions and cardiac risk-factor counseling) than with more complex problems that are less often encountered in the institution ( @entity645 counseling), or problems less often recognized (adult survivor of childhood @entity458 ). As expected, third-year residents scored better than did first-year residents on the written "plan" part of the SP stations and on the non-SP stations. Third-year and first-year residents had similar scores, however, on measures of verbal and nonverbal communication and @entity1 's satisfaction, and for gathering data and providing information. CONCLUSION: This is the first performance-based evaluation of residents in a combined med-peds residency program. The stations addressed more complex clinical skills than those reported for objective structured clinical evaluations of residents.
