Player FM 앱으로 오프라인으로 전환하세요!
Episode 157: The Testing Industrial Complex Strikes Again with Dr. Basavana Goudra
Manage episode 317630805 series 2335172
Whether you are in medicine or not, you are affected by the board certification and board recertification process. The certification and recertification process is not only expensive but also stressful contributing to burnout with physicians. After completing a specialty residency training, candidates for board certification have to jump through a number of tests to become board certified. These include a written exam and then possibly other components like oral exam, case review or something else. That something else is the subject for today's show - the Objective Structural Clinical Examination (OSCE).
What is the OSCE?
The OSCE is a new addition to the board certification process by the American Board of Anesthesiology whereby the trainees are subjected to various tests with 'standardized actors' to see how they can perform various personal skills like informed consent, canceling cases with surgeons, etc. This type of extremely subjective exam (despite the title) is ripe for interpretation that puts residents at the whim of cultural, personal, and acting disadvantages. The further question would be does this actually add anything to the skills of the physician?
What do Residents (And Program Directors) Think of OSCE?
The study conducted by Dr. Goudra looked at what residents thought of the value of OSCE was not good. In fact, 90% felt that it was a useless component that provided no benefit to determining whether someone was a good physician or better clinician. A previous study conducted by the ABA actually found that a majority of program directors also thought the exam was not worthwhile - yet it was implemented and still exists. This is about as good an example of the specialty boards' complete lack of accountability and focus on revenue. We've talked about all their problems with recertification here, here, and here.
Learn more about your ad choices. Visit megaphone.fm/adchoices
175 에피소드
Manage episode 317630805 series 2335172
Whether you are in medicine or not, you are affected by the board certification and board recertification process. The certification and recertification process is not only expensive but also stressful contributing to burnout with physicians. After completing a specialty residency training, candidates for board certification have to jump through a number of tests to become board certified. These include a written exam and then possibly other components like oral exam, case review or something else. That something else is the subject for today's show - the Objective Structural Clinical Examination (OSCE).
What is the OSCE?
The OSCE is a new addition to the board certification process by the American Board of Anesthesiology whereby the trainees are subjected to various tests with 'standardized actors' to see how they can perform various personal skills like informed consent, canceling cases with surgeons, etc. This type of extremely subjective exam (despite the title) is ripe for interpretation that puts residents at the whim of cultural, personal, and acting disadvantages. The further question would be does this actually add anything to the skills of the physician?
What do Residents (And Program Directors) Think of OSCE?
The study conducted by Dr. Goudra looked at what residents thought of the value of OSCE was not good. In fact, 90% felt that it was a useless component that provided no benefit to determining whether someone was a good physician or better clinician. A previous study conducted by the ABA actually found that a majority of program directors also thought the exam was not worthwhile - yet it was implemented and still exists. This is about as good an example of the specialty boards' complete lack of accountability and focus on revenue. We've talked about all their problems with recertification here, here, and here.
Learn more about your ad choices. Visit megaphone.fm/adchoices
175 에피소드
모든 에피소드
×1 Robert Kennedy Jr.’s Priorities for Making America Healthy Again With Dr. Eric Larson 1:27:14
1 The China COVID Lockdown - What's Happening? with Jennifer Zeng 58:02
1 The Real History of Modern Medicine with Christy Chapin, PhD 1:09:30
1 Opening the Medical Practice of Your Dreams with Chris Habig 42:11
1 The Corruption of Evidence Based Medicine with Dr. John Abramson 1:11:19
1 Trading a Hammer for a History. Dr. Blake Miller on Functional Medicine 56:05
1 Roe v. Wade Goes Down. What's Next? with Elizabeth Nolan Brown 58:15
1 Surgeon Fired Over His Opinions - Mines Bitcoin Instead with Dr. Buck Parker 50:26
1 The Way to Build False Scientific Consensus with Dr. Jay Bhattacharya 55:54
1 Episode 164: Medical Education Credentialing Boards - Follow the Money with Charles Kroll and Elizabeth Tremblay 45:32
1 Episode 163: How We Reformed State Government to Save Billions with Christin Deacon 47:08
플레이어 FM에 오신것을 환영합니다!
플레이어 FM은 웹에서 고품질 팟캐스트를 검색하여 지금 바로 즐길 수 있도록 합니다. 최고의 팟캐스트 앱이며 Android, iPhone 및 웹에서도 작동합니다. 장치 간 구독 동기화를 위해 가입하세요.