Table 1.

The content of objective structured clinical examination (OSCE) stations of postgraduate year-1 (PGY₁) residents

Name of OSCE station	2007	2008	2009	Aspects of competence/skills assessed
Use of clinical information	○	○	○	PC- interviewing; physical examination
				MK- investigatory and analytic thinking
Organization and orderliness	○	○	○	P- sensitiviting to cultural, age, gender, and disability issues
				ICS- creation of therapeutic relations with patients
Patient safety and ethical issues	●	●		SBP- understanding interaction of their practice with the larger system; advocating for patient within the health care system
				PBLI- analyzing own practice for needed improvement
Creation of therapeutic relations with patients		●	●	SBP- knowledge of practice and delivery system
				PBLI- using evidence from scientific studies (EMB); using of information technology
Providing patient-centered care	●			P- respect and altruism
				ICS- listening
Counseling and educating patients and family	●	●		MK- knowledge and application of basic science
				PC- couseling and educate patients and families; preventive health service; informed decision-making
Decision-making (clinical judgment)			●	SBP- understanding interaction of their practice with the larger system; advocating for patient within the health care system
				PBLI- analyzing own practice for needed improvement
Clinical differential diagnosis			●	MK- knowledge and application of basic science
				PC- counseling and educate patients and families; preventive health service; informed decision-making
Improvement of quality of clinical care		●		ICS- listening
				P- respect and altruism
Using evidence-based practice	○			PBLI- use evidence from scientific studies (EMB); use of information technology
				SBP- knowledge of practice and delivery system
Interaction with whole medical system			●	ICS- listening
				P- respect and altruism
Reliability (Cronbach’s alpha) of OSCE	0.72	0.69	0.87

○ = the station implemented for the year; ● = the station implemented and standardized. Patients used for the year; ICS = interpersonal and communication; MK = medical knowledge; P = professionalism; PBLI = problem-based learning and improvement; PC = patient care; SBP = systems-based practice; each OSCE station assessed two domains of ACGME core competencies; each domain (skill) of ACGME competency was equally assessed twice in 6-station OSCE of every year.