Clinical Skills of Emergency Medicine Residents Assessed Through Our First OSKE Implementation

On June 25, 2026, the Department of Emergency Medicine and the Department of Medical Education and Informatics jointly conducted an Objective Structured Clinical Examination (OSKE) for emergency medicine residents to assess their clinical skills under realistic conditions. The purpose of this implementation was to comprehensively observe and measure the entire process from patient reception in the emergency department through diagnosis and treatment decision-making in a standardized and measurable manner.

The examination consisted of three phases. In the first phase, resident physicians conducted patient interviews with trained simulated patients, ordered necessary tests, and created initial management plans. In the second phase, they evaluated and managed defined rhythms on advanced life support models. In the third phase, each resident's knowledge and reasoning were tested through oral questions.

The scenarios were designed to measure an approach that seeks the actual diagnosis behind the surface; not a hasty labeling, but one that keeps the differential diagnosis open. Stations were monitored simultaneously through a room-based digital tracking and recording system, which ensured both examination transparency and preserved records for subsequent feedback sessions. Senior residents accompanied the evaluation; their scores were reviewed by our faculty members to ensure assessment consistency.

We thank our resident physicians for their participation, our senior residents for their contributions, the trained personnel working in the simulated patient laboratory, and the esteemed faculty members who contributed to the preparation of the examination.