Exploring creative solutions to clinical reasoning assessment: The NBME OSCE for Clinical Reasoning Creative Community

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2023

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Clinical reasoning is a critical competency for the practice of medicine; however, existing methods of assessment often are unable to provide learners with sufficiently detailed or actionable feedback to guide performance improvement. While there is interest in adapting or creating new forms of assessment to address this challenge, resource constraints may preclude individual institutions from developing or implementing innovative solutions. The National Board of Medical Examiners (NBME) thus established the OSCE for Clinical Reasoning Creative Community in order to leverage experience and expertise across multiple medical schools. Participating institutions are partnering closely with NBME assessment experts to generate and pilot solutions for clinical reasoning assessment challenges, via a structured, evidence-centered design process.

In this small group discussion, the presenters will describe their experience participating in the Creative Community thus far, including key learnings and themes related to clinical reasoning assessment and barriers to innovation. The presenters will then engage the audience in a conversation about their initial reactions to the process and preliminary output of the Creative Community, as well as solicit ideas for how to maximize the value and generalizability of this work for their own institutions.

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