Table 1. Proposed OSCE Evaluation Elements for Incision and Drainage in Korean Medicine Education

Domain Evaluation element Evaluation description Classification
Pre-procedural assessment Patient identification Confirms patient name and date of birth (or age) Core required item
History taking Assesses onset, clinical course, and previous treatment history of abscess Core required item
Risk factor assessment Evaluates diabetes, immunocompromised status, medications, and allergies Core required item
Systemic symptom assessment Assesses fever, chills, and other systemic symptoms Core required item
Indication assessment Determines presence of abscess and indication for incision and drainage Core required item
Ultrasonographic assessment* Evaluates abscess location, size, depth, and surrounding structures when appropriate Conditional item
Explanation and consent Procedure explanation Explains purpose and process of the procedure Core required item
Risk explanation Explains complications, scarring, and alternative treatment options and obtains consent Core required item
Anesthetic safety assessment Confirms allergy history related to local anesthetics or medications Core required item
Preparation for procedure Aseptic technique Performs hand hygiene and wears sterile gloves Core required item
Skin preparation Disinfects procedural site and performs draping Core required item
Procedure performance Local anesthesia Performs local anesthesia and confirms anesthetic effect Core required item
Incision Performs incision with appropriate depth and length considering skin lines and creases Core required item
Drainage Drains purulent material and removes necrotic tissue or residual pus Core required item
Loculation release Breaks loculations using appropriate instruments when needed Core required item
Ultrasonographic reassessment* Confirms residual fluid collection when appropriate Conditional item
Post-procedural management Dressing Applies and secures appropriate dressing Core required item
Waste Disposal Disposes of used sharps and medical waste according to institutional guidelines Core required item
Patient education Explains post-procedural precautions and wound care Core required item
Follow-up planning Establishes revisit and follow-up plan Core required item
Medical Documentation Completes the medical record Core required item
Clinical judgment Culture test Determines need for culture testing in recurrent or immunocompromised cases Conditional item
Irrigation Performs normal saline irrigation when appropriate Conditional item
Drain maintenance Determines need for gauze packing or drain placement Conditional item
Medication and referral Determines need for antibiotics(heat-clearing herbs) or referral to higher-level care Conditional item
OSCE, Objective Structured Clinical Examination.
Ultrasonographic assessment was included as a conditional evaluation element to support procedural planning and reassessment of residual fluid collection depending on educational environment and equipment accessibility