Medical College of Wisconsin
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Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students. MedEdPORTAL 2019 Dec 27;15:10867



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Scopus ID

2-s2.0-85079338972 (requires institutional sign-in at Scopus site)   32 Citations


INTRODUCTION: Telemedicine is a growing practice with minimal training in US medical schools. Telemedicine OSCE (TeleOSCE) simulations allow students to practice this type of patient interaction in a standardized way.

METHODS: The Insomnia-Rural TeleOSCE was implemented as part of a required clinical clerkship for students in their second, third, or fourth year of medical school. This case addressed a patient with depression in a medically underserved area. Students performed it as a formative experience and received immediate feedback. They then completed a survey to evaluate the experience.

RESULTS: Students (n = 287) rated the quality of the experience 7.59 out of 10. Comments showed that 61 learners thought the TeleOSCE was a positive experience, 35 wanted more teaching about telemedicine, 28 improved their understanding of barriers to care, 25 expressed concern over minimal other training, 23 found the TeleOSCE important and challenging, 16 appreciated the differences between in-person and remote visits, and 15 wanted fewer distractions. Eight students worried about how they would be judged, five learned from the technical limitations, five requested more time, five were skeptical of the utility, and five saw telemedicine as triage.

DISCUSSION: The TeleOSCE allows learners to gain exposure to telemedicine in a safe simulated teaching environment and assesses learner competencies. The TeleOSCE also improves students' understanding of barriers to care and the utility of telemedicine. It logistically allows faculty to directly assess distance students on their clinical reasoning and patient communication skills.

Author List

Cantone RE, Palmer R, Dodson LG, Biagioli FE


Lisa Grill Dodson MD Campus Dean, Professor in the Medical School Regional Campuses department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Clinical Clerkship
Clinical Competence
Education, Medical, Undergraduate
Educational Measurement
Medically Underserved Area
Patient Simulation
Schools, Medical
Sleep Initiation and Maintenance Disorders
Surveys and Questionnaires