Speaking up: using OSTEs to understand how medical students address professionalism lapses

Figures & data

Fig. 1.  The OSTE procedure.

Fig. 2.  OSTE checklist for faculty observers.

Fig. 3.  Professionalism issues identified on M4 note sheet.

Table 1 AAMC professionalism competency goals and the corresponding checklist items

AAMC professionalism competency goal	Checklist item
Respect	Lack of hand washing
	Unprofessional attire
Excellence and scholarship	Recognize and manage: Disorganized history and physical
	Incomplete history and physical
Honor and integrity	Introduction of M4 to the patient
Cultural competency	Use of compound questions
	Excessive use of medical terminology Admitting mistakes and errors
Caring and compassion	Inappropriate social history questions
	Inattentiveness to patient
	Poor interpersonal skills
Confidentiality	Closing exam room door/respecting privacy Appropriate draping

AAMC, Association of American Medical Colleges; M4, fourth-year medical student.