Small for Gestational Age

This is an example of an OSCE module that I thought would work well, but it didn’t.

The module suffered from over-reach, both in terms of the students’ capabilities, and also the application of simulation. Let me tell you about it.

I had been serving as one of the faculty at the M3 OSCE at a neighboring medical school, and one of the OB modules impressed me. A student entered the exam room and performed a routine OB visit on a live patient at 30 weeks. The visit was viewed remotely by faculty and graded by them.

Everything with the patient was normal, except for a size/date discrepancy of about 5 weeks. The student was then expected to counsel the patient about the significance of this and outline a plan for dealing with the problem.

My OSCE module was based on that experience, but changed to reflect the different resources available at my own institution.

Claire Clough, the manikin, awaiting her routine prenatal visit.
Claire Clough, the manikin, awaiting her routine prenatal visit.
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Notes from a Medical Educator