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Third-year medical students at the IU School of Medicine prepare to take their Objective Structured Clinical Examinations (OSCE's).
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A medical student reads her patient’s chart while waiting for the announcement signaling the students to enter the “examination rooms.”
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On each door a chart containing information the student needs to know about the "pseudo-patient" is posted, including a background of the medical situation they are about to enter in to.
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After receiving the signal, students alert the actors to their presence by knocking and immediately begin to act out the patient-doctor relationship.
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Behind the doors the students are presented with a variety of situations.
For example, one of the situations for this round of OSCE's was telling
an older man that his wife had had a heart attack and explaining the E.K.G.
report to him. The goal of OSCE's is to give students more real-life experience
with dealing with patients and their families in different kinds of situations.
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Another situation involved a couple whose baby was being circumcised. The student had to explain the procedure, then that something had gone wrong and the complications surrounding the operation, and what would need to happen to correct the mistake. The actors/patients were trained to respond as any parents would: repeatedly asking questions and sometimes even taking to tears as the student talked to them.
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In a monitoring room, several TV/audio sets are set out for doctors and others to see and hear the students' interactions with the pseudopatients throughout the 11 minute sessions.
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After the exams are complete, medical students go through a debriefing to review their performance and discuss their experiences.
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