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Alzheimer’s disease is the most common cause of dementia, affecting 5.4 million Americans, yet the diagnosis is frequently missed by physicians. Potential challenges in evaluating Alzheimer’s disease include both cultural and medical origins. As a result, the approach to delivering an Alzheimer’s disease diagnosis is variable in the medical community and has the potential to emotionally impact the patient and caregiver. In addition, dementia management amongst health care providers is often limited to pharmacotherapy, neglecting important psychosocial interventions that may improve quality of life. An observed structured clinical examination (OSCE) was developed to provide neurology residents with a foundation for the diagnosis and management of Alzheimer’s disease. An introductory instructional video, dementia curriculum, and case study were circulated 1 week prior to the exercise to establish expectations for the OSCE. For the exercise, neurology residents within their postgraduate training years one to four (PGY1-PGY4) were asked to communicate the news of an Alzheimer’s disease diagnosis to a standardized patient–caregiver dyad. Neurology faculty remotely evaluated residents on their ability to provide an accurate diagnosis and prognosis, respond to family’s questions, and formulate a treatment plan that included both pharmacological and nonpharmacological interventions. In addition, learners were scored based on their communication skills. Postfeedback surveys from the residents and participating faculty were distributed and were valuable in assessing the impact of the exercise. Performance scores from OSCE video recordings were shared with residents following the OSCE. Please see the end of the Educational Summary Report for author-supplied information and links to peer-reviewed digital content associated with this publication.

Training Residents in a Best-Practice Approach to the Diagnosis and Management of Alzheimer's Disease