Terrence Steyer, M.D.
Chair, Department of Family Medicine
Objective Structured Learning Experience (OSLE)
Objective Structured Clinical Exam (OSCE)
In 2003-2004, MUSC Family Medicine introduced an OSLE into the Family Medicine Rural Clerkship to provide students with an OSCE-like learning experience. The OSLE is not graded and is purely a learning experience to help prepare students for the OSCE. The OSLE is on the second day of the rotation.
Students are paired into groups of 2-4 students. Students interact with the Standardized Patient based on scenarios given to them at the start of the OSLE. Students are evaluated on their ability to gather information, perform a physical exam, respond to emotion, and negotiate a mutually agreeable assessment plan with the patient. MUSC Family Medicine faculty members are also in the patient room and give students immediate feedback. Students have expressed great satisfaction with the OSLE and consider it excellent preparation for the OSCE at the end of the rotation.
The Family Medicine Rural Clerkship OSLE currently has 5 stations. There are 3 interview stations and 5 physical exam stations.
1 Physical Exam station:
Patient with shortness of breath/dizziness
1 Simulation station:
1 Interview station each:
Patient with chronic cough / smoking cessation
Ongoing care of patient with DM / motivational interviewing
Patient with hypertension / cultural competency