Background: The Objective Structured Clinical Examination （OSCE）–Reflection Method （OSCE-R）, a version of the OSCE for training physical therapists which incorporates group reflection through video, has been developed and implemented in our study. The purpose of this research was to introduce the OSCE-R to the second-year students and to examine its effects on learning.
Method: The subjects were 91 second-year students of the physical therapy department of our university. Before and after group reflection, OSCE score comparison, reflection sheet analysis, a questionnaire survey, and interview investigation were performed.
Results and Discussion: The OSCE scores increased significantly, and students learned the importance of reflection and empathy with patients. The combination of theory and clinical practice helped students to actively learn while crossing boundaries between school and hospital.

Prevention, early diagnosis, and early treatment of skeletal-related events (SREs) are important in the treatment of potential or current cases of bone metastasis. In August 2020, our hospital established the bone metastasis team and the bone metastasis board (BMB) started actively engaging in activities aimed at improving the outcome of bone metastasis. We retrospectively examined whether a combined modality therapy started in the diagnosis of bone metastases could prevent the onset of SREs and whether it could prolong survival and improve activities of daily living. The 75 advanced cancer patients who underwent BMB at our hospital from August 1, 2020 to July 31, 2022 were divided into two groups according to when BMB performed before and after SREs for comparative analysis. Numerical Rating Scale improved, however Performance Status did not improve in both groups, and there was no difference in survival between the both groups (15.3 vs. 9.0 months, HR: 0.74, 95%; CI: 0.42–1.29, p=0.29). In conclusion, patients who suffered from SREs from the time of bone metastasis diagnosis were treated early. However, the incidence of SREs after BMB in our hospital was 22.6%, and it is necessary to actively work to prevent SREs in the future.