Although interest is increasing in the use of Objective Structured Clinical
Examinations (OSCEs) for the assessment of psychiatry residents, there are
very few reports of the experiences and attitudes of residents to this for
m of evaluation. Eighteen residents in psychiatry participated in an OSCE c
onsisting of eight 12-minute sf standardized patient interviews. Of the 15
who completed a postexamination survey, 93% rated the scenarios as very rea
listic and 80% considered the scenarios reflective of clinical situations t
hey had experienced. The residents were very confident that such an examina
tion could discriminate between incompetent and competent medical students,
but the residents were less certain of the OSCE's power to do so between c
ompetent and incompetent residents. While residents rejected the idea of su
ch an OSCE for board certification, many felt they would like the experienc
e to be a formative part of their training.