This resource is a 15-minute objective structured clinical examination (OSCE) where examinee take a detailed headache history from a standardized patient, generate an initial differential diagnosis, request and interpret diagnostic tests, and defend the final diagnosis. Criteria for passing and a grading system have been established. Remediation plans are prescribed, depending on the type of error made by the examinee. The tool has content validity, as it has been developed by a neurologist and reviewed by four additional content experts. It has face validity, based on a small survey of third-year medical students. It has been administered by four different faculty members, in addition to the principal investigator. The instructions are clear and the tool is easy to use.
- Systematically evaluate a patient with headache.
- Obtain a complete and reliable history.
- Formulate a differential diagnosis based on lesion localization, time course, and relevant historical and demographic features.
- Interpret abnormal findings of the neurologic examination.
- Use and interpret common tests used in diagnosing neurologic disease.
- Recognize and evaluate potentially life-threatening neurologic conditions, such as increased intracranial pressure and subarachnoid hemorrhage.
- Gelb DJ, Gunderson CH, Henry KA, et al. The neurology clerkship core curriculum. Neurology 2002;58(6):849-859. http://dx.doi.org/10.1212/WNL.58.6.849
- The recommended curriculum guidelines for family medicine residents, Conditions of the nervous system, AAFP Reprint No. 272. Available at www.AAFP.org (online). Accessed August 22, 2012.
- American Academy of Neurology, Headache and Facial Pain Section. Resident Core Curriculum. Available at: www.AAN.com (online). Accessed August 3, 2012.
- Almoallim H, Alkatheeri A, Monjed A, Basheer F, Tawakol A, Imam A, et al. Structured Oral Examinations in Internal Medicine - Case I. MedEdPORTAL; 2009. Available from: www.mededportal.org/publication/1121
- Akins R. Pat Andares - Headache. MedEdPORTAL; 2011. Available from: www.mededportal.org/publication/9045
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