{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T18:18:31Z","timestamp":1773425911509,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,2,1]],"date-time":"2008-02-01T00:00:00Z","timestamp":1201824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>The purpose of this study was to evaluate an Objective Structured Clinical Examination (OSCE) designed to examine all six competencies and provide meaningful results to improve resident performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>A prospective, observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>The OSCE consists of 1 hour for examination of a simulated patient, documentation, and feedback, with 30\u00a0minutes for an evidence\u2010based medicine (EBM) test. Eight otolaryngology residents participated. Digital recordings and written documentation were evaluated on all competencies except practice\u2010based learning. An EBM test was scored to assess practice\u2010based learning.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Overall, senior residents scored better. Seniors scored better on performing a focused history, whereas juniors scored better for thoroughness. Seniors coded better than juniors, although seniors tended to undercode and juniors tended to over\u2010code. Two cases of \u201cinsurance fraud\u201d were also discovered.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The \u201cSix Pack\u201d successfully evaluated all competencies while providing valuable information. A clinical practicum was added to improve history and physical examination skills. The discussion of coding and a billing seminar also resulted. Residents believed the OSCE was valuable. Faculty members were impressed with the useful information obtained.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2007.10.017","type":"journal-article","created":{"date-parts":[[2008,1,31]],"date-time":"2008-01-31T11:07:59Z","timestamp":1201777679000},"page":"143-148","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Pilot study of an objective structured clinical examination (\u201cthe Six Pack\u201d) for evaluating clinical competencies"],"prefix":"10.1002","volume":"138","author":[{"given":"Christine B.","family":"Franzese","sequence":"first","affiliation":[{"name":"Department of Otolaryngology and Communicative Sciences University of Mississippi Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,2]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"ACGME General Competencies and Outcomes Assessment for Designated Institutional OfficialsRetrievedFebruary 16 2007fromhttp:\/\/www.acgme.org\/acWebsite\/irc\/irc_competencies.pdf."},{"key":"e_1_2_9_3_1","unstructured":"ACGME Outcome Project Timeline\u2014Working Guidelines. 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