Bringing a Structural Competency Framework to the (Simulated) Bedside: The Premature Discharge Objective Structured Clinical Exam

1A.K. Ramsdell is assistant professor of clinical medicine, Section of General Internal Medicine, Weill Cornell Medicine, New York, New York.

2N. Hupert is associate professor of population health sciences and medicine, Department of Population Health Sciences, Weill Cornell Medicine, New York, New York. ORCID ID: https://orcid.org/0000-0002-7590-3680.

3E. Abramson is professor of pediatrics and population health sciences, Division of Pediatrics, Weill Cornell Medicine, New York, New York. ORCID ID: https://orcid.org/0000-0003-0474-7139.

4J.E. Safdieh is professor of neurology and the Gertrude Feil Dean of Curricular Affairs, Weill Cornell Medicine, New York, New York. ORCID ID: https://orcid.org/0000-0002-2495-2925.

5S. Katz is assistant professor of clinical medicine, Section of General Internal Medicine, Weill Cornell Medicine, New York, New York. ORCID ID: https://0000-0001-5226-2270.

Correspondence should be addressed to Sydney Katz, MD, Weill Cornell Medicine, Department of Medicine, Division of General Internal Medicine, Section of Hospital Medicine, 525 East 68th Street, Box 331, New York, NY 10065; telephone: (212) 746-4071; email: [email protected].

Supplemental digital content for this article is available at https://links.lww.com/ACADMED/B573.

Acknowledgments: The authors wish to thank Dr. Yoon Kang for her institutional leadership and support; Kevaughn Harvey and Anne Connolly for recruiting and training standardized patients and organizing all operational logistics to make the OSCE run smoothly; Suklima Roy Barua for organizing logistics of the OSCE and overall course coordination; Meghan Asik for assisting with data acquisition; Dr. David Scales for his content expertise in structural competency; Patricia Hernandez, LCSW, for her superb housing expertise; the actors who brilliantly portrayed our standardized patients; and the students who participated in our curriculum. Additional thanks to the faculty lecturers and individuals who reviewed the case.

Funding/Support: None reported.

Other disclosures: Dr. Joseph E. Safdieh receives publication royalties from Elsevier and IGI Global.

Ethical approval: Ethical approval was received by the Weill Cornell Institutional Review Board (IRB Number: 21-10024045;November 23, 2022).

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