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Table 1 2009 and 2011 Pediatric Rheumatology Objective Structured Clinical Examination Scenario Descriptions

From: The pediatric rheumatology objective structured clinical examination: progressing from a homegrown effort toward a reliable and valid national formative assessment

Scenario Number Description 2009 Assessors 2011 Assessors
1 Inform a parent of a child recently diagnosed with lupus about risks and benefits of glucocorticoid treatment pediatric rheumatologist, parenta pediatric rheumatologist, parenta
2 Prepare a joint injection for a patient with juvenile arthritis without a nurse present pediatric rheumatologist scenario not performed
3 Perform joint aspiration and injection using an orange model (in 2009, scenario included consenting parent for the procedure) pediatric rheumatologist, parenta, patienta pediatric rheumatologist, nurseb, parenta, patienta
4 Perform a complete musculoskeletal exam on a patient with juvenile arthritis pediatric rheumatologist, parenta, patienta pediatric rheumatologist, parenta, patienta
5 Discuss a child’s diagnosis of juvenile dermatomyositis with a parent pediatric rheumatologist, parenta pediatric rheumatologist, parenta
6 Give a brief lecture about juvenile idiopathic arthritis to medical trainees pediatric rheumatologist pediatric rheumatologist, medical studentc
7 Write an appeal letter to an insurance company supporting the use of a biologic drug for a juvenile arthritis patient pediatric rheumatologist scenario not performed
8 Complete multiple-choice questions about gait and its diagnostic significance scenario not performed No assessors
9 Practice delivering bad news to parents of a child with joint pain determined to have cancer scenario not performed pediatric rheumatologist, parenta
  1. aRoles of parents and patients were played by volunteers, either true patients with pediatric rheumatic diseases, parents of children with rheumatic diseases or lay-person adults. They were not formally trained standardized patient actors
  2. bVolunteer registered nurses from the pediatric rheumatology clinic
  3. cVolunteer medical students recruited by email