Using a teaching OSCE to prompt learners to engage with patients who talk about religion and/or spirituality

Christy J.W. Ledford, Dean Seehusen, Mollie Rose Canzona, Lauren A. Cafferty

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

PURPOSE: The objective structured clinical examination (OSCE) has only occasionally been used as a teaching tool. The authors describe the initial use of an educational innovation consisting of a teaching OSCE used as "sensitizing practice," followed by personal, guided, and group reflection. METHOD: Staff and resident physicians and one medical student (N = 28) at a community hospital's family medicine residency participated in the innovation during August 2012. The initial use of the educational innovation allowed learners to engage in a potentially challenging conversation with a standardized patient about religion and/or spirituality (R/S). The aim of the innovation was not to equip learners with a particular tactic to introduce or discuss R/S but, rather, to prompt learners to engage in mindful practice with patients who identify R/S as part of their biopsychosocial contexts. Written, dyadic, and group reflection added value to the OSCE by allowing participants to reflect on a difficult learning objective over time. RESULTS: Participants moved along the stages-of-change continuum when engaging in guided reflection compared with personal reflection. Additionally, all participants provided evidence of at least the preparation stage at the time of guided reflection. By following the OSCE's sensitizing practice with three periods of reflection, learners were enabled first, to recognize the need for readiness to address challenging communication topics (in this case, R/S) and, second, to reflect on practiced strategies for those conversations. CONCLUSIONS: The educational innovation can help learners become more aware of and skillful in dealing with difficult physician-patient communication topics.

Original languageEnglish (US)
Pages (from-to)60-65
Number of pages6
JournalAcademic Medicine
Volume89
Issue number1
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

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Spirituality
Religion
spirituality
Teaching
innovation
examination
Communication
Community Medicine
Hospital Medicine
Physicians
conversation
physician
Community Hospital
Internship and Residency
Medical Students
OSCE
communication
learning objective
value added
tactics

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Using a teaching OSCE to prompt learners to engage with patients who talk about religion and/or spirituality. / Ledford, Christy J.W.; Seehusen, Dean; Canzona, Mollie Rose; Cafferty, Lauren A.

In: Academic Medicine, Vol. 89, No. 1, 01.01.2014, p. 60-65.

Research output: Contribution to journalArticle

Ledford, Christy J.W. ; Seehusen, Dean ; Canzona, Mollie Rose ; Cafferty, Lauren A. / Using a teaching OSCE to prompt learners to engage with patients who talk about religion and/or spirituality. In: Academic Medicine. 2014 ; Vol. 89, No. 1. pp. 60-65.
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