Cancer pain management skills among medical students: the development of a Cancer Pain Objective Structured Clinical Examination

Journal of Pain and Symptom Management
P A SloanD A Sloan

Abstract

Recent surveys suggest that most physicians have inadequate knowledge to assess and manage cancer pain; however, the important domain of clinical performance has not yet been clearly evaluated. The Objective Structured Clinical Examination (OSCE) has become a widely- used and accepted method to evaluate the clinical abilities of medical students. The purpose of this study was to develop and test a Cancer Pain OSCE for medical students evaluating their clinical competence in the area of cancer pain management. A four-component Cancer Pain OSCE was developed and presented to 34 third-year medical students during a sixteen-week combined medicine/surgery clerkship. The content of the objective criteria for each component of the OSCE was developed by a multidisciplinary group of pain experts. The OSCE was designed to assess the students' cancer pain management skills of pain history-taking, focused physical examination, analgesic management of cancer pain, and communication of opioid analgesia myths. Actual cancer survivors were used in the five-minute individual stations. The students were asked to complete a cancer pain history, physical examination, manage cancer pain using analgesics, and communicate with a family member regardi...Continue Reading

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Aug 10, 2007·Current Pain and Headache Reports·Dermot R Fitzgibbon
May 9, 2002·Journal of Pain and Symptom Management·Perry G Fine
Dec 22, 2007·Journal of Palliative Medicine·Solomon Liao, Robert M Arnold
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Mar 31, 2004·Journal of Pain and Symptom Management·Paul A SloanDavid A Sloan
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