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STFM Workshop - April 2006 Robin Helm, MD, Theresa Drewniak, PhD,

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Presentation on theme: "STFM Workshop - April 2006 Robin Helm, MD, Theresa Drewniak, PhD,"— Presentation transcript:

1 Development of a Video Based Tool for Resident Teaching and ACGME Competency Assessment
STFM Workshop - April 2006 Robin Helm, MD, Theresa Drewniak, PhD, Nancy Havas, MD, Suzanne Gehl, MD, Deb Simpson, PhD, Department of Family and Community Medicine

2 Objectives Demonstrate video-based tools used to teach and evaluate the ACGME competencies Discuss process of developing the video-based tools Describe and pilot a process for developing of own video-based case scenarios

3 Interdisciplinary Project
Family Medicine: Theresa Drewniak, PhD; Suzanne Gehl, MD; Nancy Havas, MD; Robin Helm, MD General Internal Medicine: Steven Denson, MD; Julie Mitchell, MD; Monica Ziebert, DDS, MD Geriatric Medicine: Kathryn Denson, MD Edmund Duthie, MD; Diana Kerwin, MD Geriatric Psychiatry: Harold Harsch, MD Medical Education: Thomasine Dankert; Diane Brown; Dawn Bragg, PhD; Mary Heffron, PhD; Deborah Simpson, PhD

4 Needs Assessment Tools developed in response to:
Data from WI-based PC residency faculty Literature review identifying gaps Competencies Primary care knowledge and skills in geriatrics

5 ACGME Competencies Patient Care Medical Knowledge
Practice-Based Learning and Improvement Interpersonal and Communication Skills Professionalism Systems-Based Practice

6 ACGME Competencies Patient Care Medical Knowledge
Practice-Based Learning and Improvement Interpersonal and Communication Skills Professionalism Systems-Based Practice

7 Tool “Table of Contents” (Level of importance 1 to 5 1=highest)

8 Tool Components Instructor Guide Resident Assessment Sheet
Video Trigger Score Key

9 Instructor Guide Background > 2 Competencies Systems-based
Practice-based Interper/Comm Skills Professionalism Specific Objectives Instructions and time 10-12 minutes to complete 10 minutes to score

10 Video

11 Resident Assessment Sheet and Score Key

12 OSVE DEVELOPMENT Spiral Process

13 Development Idea → Clearly identified purpose/focus Expertise
What goes into Developing an OSVE tool? Idea → Clearly identified purpose/focus resident/faculty struggle Core Curriculum/ACGME gap Expertise Education (objectives, assessment) Subject matter (medical errors, differences between sites) Videography Project Management (meetings, editing, files) Persistence & Patience

14 Project Management

15 Script Folder

16

17 Identifying your Resources
Information Resources Needs Assessment to ID topic focus Subject matter - best evidence Setting Fidelity but controlled (background noise) Creativity (pager = bull horn) Budget (In-Kind vs $) Faculty Authors, Educationalists Production Actors, props Videographer/editor Pre- Post Production Duplication of scenes, tools, edit Dissemination / distribution (e.g., CD, Web)

18 Developing Your Own OSVE
Identifying a Competency Assessed Needs (Faculty/ Residents) Medical Knowledge vs. Others Selecting a Subject Familiar scenarios Draw upon competency goals Physical / Budget restrictions

19 Identifying Resources
Information Resources Evidence Based Expert opinion (collaborators) Applicable to 5 years from now Setting Use what you have

20 Groups Form groups (3 to 4 in each group) Introductions within group
Work outlines provided ACGME Competencies provided

21 Work Outline Step 1: Select a topic Step 2: Develop scenario summary
Step 3: Identify competencies Step 4: Script scenario Step 5: Develop 3-4 question/answers Step 6: Assign points to questions Step 7: Fill out the Instructor’s Guide

22 First Drafts Draft an outline for a first draft script
50 minutes (20 minutes+ 30 minute break) Work on your script for review and discussion following the break Refreshments are available in hall

23 BREAK Take a Break! Refreshments are available in hall
Work on your script for review and discussion following the break Choose a spokesperson for your group

24 Debriefing of Script Development
Each group provide brief synopsis of scenarios and scripts What was easiest? What was most challenging? Were any of the ACGME competencies easier or more difficult than others to script? Create questions and answers for?

25 Piloting Assessment Tools
Tips for Piloting Assessment Tools Noon Conference Morning Report Have other faculty give instructions Faculty to complete evaluation of tool

26 Application of Video Based Tools
Conferences Integrate into lectures Individual teaching/assessment Patient rounds Nursing home

27 Discussion and Questions

28 Conclusion Video-based tools can be used to teach and evaluate the ACGME competencies Several set process exists for developing the video-based tools These video-based tools can enhance training in your residency

29 Thanks for your Participation!
To find out more about creating your own OSVE, contact:

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