Table 2 Pre- and post-intervention results for standardized parent Objective Structured Clinical Examination (OSCE) by checklist item
Pre-intervention (n = 64) | Post-intervention (n = 63) | ||
|---|---|---|---|
Mean (SD) | Mean (SD) | P-value* | |
1. The resident showed interest in me as a person | 83.9 (11.1) | 91.1 (10.8) | < 0.001 |
2. The resident made me feel that he/she was glad that I brought my child in today | 81.4 (11.9) | 88.3 (10.4) | < 0.001 |
3. The resident used words that I understood | 83.4 (11.2) | 89.5 (9.2) | 0.003 |
4. The resident used nonverbal behaviors that conveyed attentive listening | 83.6 (11.6) | 91.3 (9.4) | < 0.001 |
5. The resident asked me what was the most concerning factor for us today | 55.5 (40.9) | 82.5 (27.2) | < 0.001 |
6. The resident asked me how I feel about the situation | 64.8 (40.5) | 78.6 (30.7) | 0.071 |
7. The resident validated my concern/feelings | 97.7 (13.9) | 97.6 (10.7) | 1.000 |
8. The resident noted that I seemed sad/mad/distressed/worried | 58.6 (40.4) | 73.0 (34.6) | 0.024 |
9. The resident made empathetic statements (That must be difficult) | 93.8 (18.9) | 93.7 (21.0) | 1.000 |
10. The resident engaged me in an exchange to arrive to the plan | 87.5 (28.2) | 97.6 (10.7) | 0.012 |
11. The resident made a final decision with regard to referral | 98.4 (8.8) | 98.4 (8.8) | 1.000 |
% (n) | % (n) | ||
12. If no referral was made, the resident successfully helped you to feel reassured that this is not a life threatening condition | 82.6 (38) | 97.8 (45) | 0.008 |
13. If a referral was made, the resident helped you understand the reason for the referral | 96.1 (49) | 98.0 (50) | 0.564 |
14. If a referral was made, the resident explained that this could be a life threatening condition | 70.6 (36) | 80.4 (41) | 0.166 |
15. If a referral was made, the resident explained what you could expect when you see the Cardiologist | 51.9 (27) | 75.0 (39) | 0.011 |
16. If a referral was made, the resident recognized and managed the logistics of the referral | 76.9 (40) | 96.2 (50) | 0.002 |
17. If a referral was made, the resident clarified plan with the family and ensured conceptual understanding and agreement on logistics of the plan | 76.0 (38) | 98.0 (49) | 0.002 |
18. If a referral was made, the resident explained that exercise restriction is needed | 84.3 (43) | 100 (51) | 0.005 |
19. If a referral was made, the resident decided on the urgency of the referral | 90.4 (47) | 98.1 (51) | 0.103 |
Mean (SD) | Mean (SD) | ||
20. Provided ongoing patient care and informed us when to call her/him back | 60.3 (38.3) | 80.2 (35.4) | < 0.001 |
Total Score | 82.7 (10.9) | 91.7 (5.0) | < 0.001 |