OSCEObjective Structured Clinical

Examination

Dr. Kamrun Nahar

Long Essay Questions LEQ.Long Essay Questions LEQ.

Oral Examination.Oral Examination.

Short Essay Questions SEQ.Short Essay Questions SEQ.

Multiple Choice Question MCQ.Multiple Choice Question MCQ.

Modified Essay Question MEQ.Modified Essay Question MEQ.

Patient Management Problem PMP.Patient Management Problem PMP.

Observational Assessment, OSCE, OSPE.Observational Assessment, OSCE, OSPE.

METHODS USED FOR THE ASSESSMENT METHODS USED FOR THE ASSESSMENT OF MEDICAL STUDENTOF MEDICAL STUDENT

LEARNING COMPONENTSLEARNING COMPONENTS

Communication skillCommunication skill

Psychomotor skill.Psychomotor skill.

Clinical compentence is demonstrated when a task is performed using learned Clinical compentence is demonstrated when a task is performed using learned skills and knowledge.skills and knowledge.

KnowledgeKnowledge

Dose the student or doctor know what he or she should do?Dose the student or doctor know what he or she should do?

In practice, dose the student or doctor choose to do it when confronted In practice, dose the student or doctor choose to do it when confronted with a situation?with a situation?

AttitudeAttitude

Is he or she able to do it?Is he or she able to do it?

SkillsSkills

First described by Harden et al in 1975.

Communication skill, psychomotor skill, decision making skill and knowledge can be assessed.

It consists of 20 station, either practical or written arranged in alternative way.

The number of stations can be arranged according to manpower and time schedule of institution.

P WP

WP

WP

W

P

WPWP

W

PW

PW

P

W

1 2

3

4

5

6

7

8

9

101112

13

14

15

16

17

18

19

20

Total Student : 20Time Period : 9 am to 11 am

10

9

8

76

5

4

3

21

4th Year

MBBS

Station 10

2 for history taking

3 (Clinical Skill)

2 (Written station)

1 Rest1 Instrument

Each student starts the examination at a different station.

At the end of fixed time period, a bell rings and each student moves on to the next station.

10

9

8

76

5

4

3

21

4th Year

MBBS

At the written station, the student answer a question.

At the practical station, the student may be asked to examine the patient, to take history, to examine any investigation report or to use some piece of equipment.

Practical station is observed by the examiner with structured check list.

How to make station?

According to educational objectives.

Educational objectives are defined what the student, not the teacher should be able to do.

Educational Objective

The students must be able to write down the definition of common obstetrical terms like APH/PPH/Gravida etc.

reflects student’s knowledge.

The students must be able to identify the common obstetric instruments and to know the names of instrument.

reflects student’s knowledge

The students must be able to estimate the duration of pregnancy and to identify the presentation of an antenatal women.

Reflects psychomotor skill Attitude Communication skill

Please write down the definition of APH and PPH

Please write down the different parts of this instrument.

Please palpate the abdomen and write down the duration of pregnancy and presentation.

Station 1 : Station 1 : Abdominal examination to estimate Abdominal examination to estimate the duration of pregnancy and the duration of pregnancy and identify presentation.identify presentation.

Student’s activity : To do the abdominal examination and to write the duration of pregnancy on given paper.

Examiner's activity : To assess the student’s performance by using check list to collect written paper from the student.

Time : 5 minutes

Resources : A pregnant woman, paper and pen.

Estimation of duration of pregnancy and presentation

Observational Scale

Name of student : Roll No:

Efficiently done

1

Irregularly done

1/2

Not done

0

Consent

Maintenance of privacy

Keeping the hand for fundal height

Keeping the hand for 1st pelvic grip

Writing the findings

Signature of examiner Criterion : The student must get ---- score out of ----

Station 2 : Station 2 : Factors determining the duration of Factors determining the duration of pregnancy (Written station)pregnancy (Written station)

Student’s activityStudent’s activity :: To write down the names of factors To write down the names of factors determining the duration of determining the duration of

pregnancy.pregnancy.

Examiner’s activityExaminer’s activity :: To help student about his/ her task, To help student about his/ her task, to to collect written answer sheet.collect written answer sheet.

TimeTime : : 5 minutes.5 minutes.

ResourcesResources : : Paper and pen.Paper and pen.

Station 3 :

Rest

Feedback to the student is very important for his/her improvement.

Usually in OSCE, assessment result making in a specific way is distributed to the student.

Assessment result

Student’s Name : Roll Number : Batch Number :Your results of assessment are listed below:

Station 1 : Abdominal Satisfactory/examination to Unsatisfactoryestimate duration ofpregnancy

Station 2 : Pelvic examination to Satisfactory/determine cervical Unsatisfactory score

Registrar Head of the dept.Gynae and Obs Gynae and Obs.

Why OSCE ?

Reliable as all students are asked to do the same tasks.

Valid

Tasks are according to objectives of course

The student is observed during the performance with structured check list.

There is difference between knowing how to do something and actually being able to do it.

OSCE with existing long case examination can fulfil the goal.