Center faculty continued work with JMC faculty who use the University Clinical Simulation Center to analyze students' clinical assessments in preclinical courses, clinical clerkships and the comprehensive third-year OSCE. These included research related to methods of measuring clinical performance, the relationship between simulated patients’ ratings of students’ empathy and the students’ self-reported empathy, and self-assessment in surgery. The following studies were completed:
Clinical Skills Assessment in the Surgery Clerkship – The model of skills assessment in Jefferson's surgery clerkship is noteworthy because students must demonstrate their proficiency in performing simple procedures such as inserting intravenous tubes or suturing on task training simulators, while interacting with live simulated patients. The findings from this three-year study of the validity of the formal assessment of students' clinical skills at the end of the surgery clerkship was published in The American Journal of Surgery.
USMLE Step 2 Clinical Skills – A study to be published in Simulation in Healthcare in collaboration with researchers at Washington University, Michigan State University, and University of Kansas between 2008 and 2010 investigated the association between students’ performance on local clinical skills assessments and the USMLE Step 2 Clinical Skills test.
Clinical Skills Assessments during Medical School and Performance in Residency – The collaborative study with Washington University, Michigan State and Kansas also involved research on the relationship between students’ performance on local clinical skills assessments and program directors' ratings of their performance in residency. The findings were presented at the Conference on Research in Medical Education at the Annual Meeting of the AAMC, and will be published in Simulation in Healthcare.
Residents' Proficiency in End-of Life Care – Center faculty collaborated with faculty in the Department of Medicine who were developing a program to foster first-year residents' skills in leading end-of-life discussions with dying patients and their families. Residents' performance was measured before and after completion of the program using simulated clinical encounters with actors posing as the family members of dying patients and written clinical vignettes describing comparable scenarios. The findings from this study were published in the American Journal of Hospice and Palliative Medicine.
Medical Students' Response to Challenging Counseling Tasks – Center faculty collaborated with faculty in the Department of Pediatrics to analyze data obtained during a clinical simulation designed to test medical students' proficiency in teaching and counseling patients about shaken baby syndrome. The findings from this study are helping faculty to identify students who could benefit from interventions to increase their sensitivity toward patient needs.