Steve Leung, Erica McDonald, Amy Watson, Quynh Doan, Neil Desai
Community healthcare appointments as an alternative to emergency department assessment: an exploration of family acceptability and preferences
CJEM
obesity major public health problem yet residents undergo little formal training assessment obesityrelated care given recent growth telehealth physicians must learn apply skills using virtual platform therefore aimed develop objective structured clinical examination osce reliable checklists assess resident ability take patientcentered obesityfocused history feasible telehealth based published obesity competencies medical education developed 15minute telehealth osce simulate obesityrelated encounter residents modified script used assess medical student obesity competencies designed three checklists assess resident skills history taking communication professionalism obesityrelated encounter resident performance assessed percentage obesityrelated history taking questions asked encounter mean communication professionalism scores scale 1 5 1 representing unacceptableoffensive behavior 5 representing excellent skills encounters assessments completed two commissioned actors standardized patients 26 internal medicine residents secure online platform assessed reliability checklist calculating percent agreement standardized patients kappa statistic checklist overall checklist item overall agreement standardized patients history taking communication professionalism checklists 832 063 995 072 978 044 respectively average residents asked 648 questions history taking checklist scored 38 39 5 communication professionalism checklists respectively results pilot study suggest telehealth obesity osce checklists moderately reliable assessing key obesity competencies among residents virtual platform integrating obesity osces educational interventions residency curricula needed improve resident ability take obesityfocused history