Subtle skills: Using objective structured clinical examinations to assess gastroenterology fellow performance in system based practice milestones

Table 3 Fellows’ perceived skills and beliefs about clinical practice as reported in post-examination survey, n (%)

Items	Strongly disagree	Somewhat disagree	Somewhat agree	Strongly agree
Before today’s OSCE, I felt comfortable discussing the utility of PEG placement in a patient with neurologic compromise	1 (4)	2 (8)	16 (67)	5 (21)
After today’s OSCE, I feel more comfortable discussing the utility of PEG placement in a patient with neurologic compromise	0 (0)	0 (0)	10 (42)	14 (58)
Before today’s OSCE, I felt comfortable during hand-off discussions with my co-fellows	0 (0)	1 (4)	10 (42)	13 (54)
After today’s OSCE, I feel more comfortable during hand-off discussions with my co-fellows	0 (0)	1 (4)	8 (33)	15 (63)
Before today’s OSCE, I felt comfortable that I would be able to recognize signs of substance abuse and depression in a colleague and referring them to the appropriate resources	2 (8)	5 (21)	12 (50)	5 (21)
After today’s OSCE, I feel comfortable that I would be able to recognize signs of substance abuse and depression in a colleague and referring them to the appropriate resources	0 (0)	0 (0)	10 (42)	14 (58)
Before today’s OSCE, I felt very comfortable giving constructive criticism and feedback to my learners	0 (0)	2 (9)	13 (57)	8 (35)
After today’s OSCE, I feel more comfortable giving constructive criticism and feedback to my learners	0 (0)	1 (4)	6 (26)	16 (70)

OSCE: Objective structured clinical examination; PEG: Percutaneous endoscopic gastrostomy