OSCE for Clinical Reasoning. An NBME Creative Community.

What are Creative Communities?

Creative Communities are NBME-funded programs under the NBME Assessment Alliance initiative. These communities bring together medical educators, medical school staff, learners and NBME staff in a collective effort to solve the pressing challenges in assessment we face today. 

Each community will convene around a specific theme and scope of work, such as the assessment of a specific construct or competency, an assessment method or format, or the use of assessment information to inform learner progress and decision-making. The Objective Structured Clinical Examination (OSCE) for Clinical Reasoning is the first NBME Creative Community. 

 

The OSCE for Clinical Reasoning Creative Community

The purpose of the OSCE for Clinical Reasoning Creative Community is to collectively develop solutions that promote and measure clinical reasoning using school-based OSCEs. This Creative Community is designed to identify and develop incremental solutions with the goal of:

  • Enhancing the development and assessment of learner clinical reasoning skills
  • Presenting patient groups without bias or stereotypes
  • Minimizing group differences in learner outcomes
  • Enabling all institutions to better support learner skill development across the continuum of medical education and training

If you have any questions, please email creativecommunity@nbme.org.

 

Community Updates

Since the selection of our Community members in April 2022, NBME staff and Creative Community members have been engaged in the following activities:

  • Ideating solutions to assess clinical reasoning using the OSCE format: Numerous challenges were described and prioritized, and the Community has begun to consider creative solutions, varying from new post-encounter exercises to new case formats to new platforms of assessment.
  • Formulating sub-teams to focus on distinct competencies within the domain of clinical reasoning: Each team is focused on  specific clinical reasoning skills.
  • Ensuring alignment with evidence-centered approaches to assessment development: While each sub-team works independently to ideate solutions, NBME staff provide guidance on evidence-centered principles to ensure that the assessment development process supports the inferences that educators want to make about learners.  

 

OSCE for Clinical Reasoning Evidence-Centered Approach

graph showing the four stages of the OSCE for Clinical Reasoning Evidence-Centered Approach

 

Looking ahead into 2023, the OSCE Creative Community will plan proof-of-concept pilots for the new assessment approaches developed from the sub-teams and begin to engage medical students in this work.

Sign up for our email list below to receive updates on the project and learn about future opportunities to collaborate.

 

Meet the OSCE Creative Community Participants

headshot of Laurie Caines

Laurie Caines, M.D. - University of Connecticut School of Medicine

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headshot of Analia Castiglioni

Analia Castiglioni, M.D. - University of Central Florida College of Medicine

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headshot of Sharon Dowell

Sharon Dowell, M.B.B.S., M.S - Howard University College of Medicine

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headshot of David Gordon

David Gordon, M.D. - Duke University School of Medicine

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headshot of Khadeja Johnson

Khadeja Johnson, M.D. - Morehouse School of Medicine

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headshot of Matthew Kelleher

Matthew Kelleher, M.D., M.Ed. - University of Cincinnati College of Medicine

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headshot of Debra Klamen

Debra Klamen, M.D., M.H.P.E. - Southern Illinois University School of Medicine

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headshot of Kristen Mitchell

Kristen Mitchell, D.O - University of New England College of Osteopathic Medicine

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headshot of Candace Pau

Candace Pau, M.D. - Kaiser Permanente Bernard J. Tyson School of Medicine

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headshot of Jan Veesart

Jan Veesart, M.D. - University of New Mexico School of Medicine

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