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OSCE-based Clinical Skill Education for Physical and Occupational Therapists
Authors:Hiroaki Sakurai  Yoshikiyo Kanada  Yoshito Sugiura  Ikuo Motoya  Yosuke Wada  Masayuki Yamada  Masao Tomita  Shigeo Tanabe  Toshio Teranishi  Toru Tsujimura  Syunji Sawa  Tetsuo Okanishi
Institution:1) Fujita Health University School of Health Sciences, Japan;2) Fujita Health University Graduate School of Health Sciences, Japan;3) Department of Rehabilitation, Health Care Service Facility for the Aged, Tobahouwaen, Japan;4) Kawamura Hospital, Japan;5) Tsujimura Surgical Hospital, Japan;6) Nagoya Gakuin University, Japan
Abstract:Purpose] The aim of this study was to examine the applicability of the Objective Structured Clinical Examination (OSCE) to postgraduate education systems for novice and mid-career therapists in workplaces. Subjects] Physical and occupational therapists with 1 to 5 years of clinical experience took the OSCE to assess their learning, with a physical or occupational therapy faculty member and a clinical supervisor as examiners. Another clinical supervisor acted as a simulated patient. Methods] A Wilcoxon signed-rank test was performed to compare skills between before and after OSCE-based learning, and a Mann-Whitney U test was used to compare them between therapists with 1 to 2 years (novice) and 3 to 5 years (mid-career) of clinical experience. Results] While no experience-related differences were observed in behavioral aspects, mid-career therapists exhibited markedly higher scores compared with novices in technical aspects, such as skills to guide patients for standing up, transfer, and dressing. Conclusion] The OSCE may be sufficiently applicable to postgraduate education systems in workplaces.Key words: OSCE, Clinical skill, Physical and occupational therapists
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