OSCE Objective Structured Clinical Examination

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OSCEObjective Structured ClinicalExamination
Dr. Kamrun Nahar
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METHODS USED FOR THE ASSESSMENT OF MEDICAL STUDENT

• Long Essay Questions LEQ.
• Oral Examination.
• Short Essay Questions SEQ.
• Multiple Choice Question MCQ.
• Modified Essay Question MEQ.
• Patient Management Problem PMP.
• Observational Assessment, OSCE, OSPE.

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LEARNING COMPONENTS
? Knowledge
Dose the student or doctor know what he or she
should do?
Communication skill Psychomotor skill.
? Skills
Is he or she able to do it?
? Attitude
In practice, dose the student or doctor choose to
do it when confronted with a situation?
Clinical compentence is demonstrated when a task
is performed using learned skills and knowledge.
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? First described by Harden et al in 1975.?
Communication skill, psychomotor skill,
decision making skill and knowledge can be
assessed.
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? 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.
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Total Student 20Time Period 9 am to 11 am
4th Year MBBS
Station 10
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? 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.
4th Year MBBS
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? 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.
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How to make station?

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

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Educational Objective
? The students must be able to write down the
definition of common obstetrical terms
like APH/PPH/Gravida etc. reflects students
knowledge.? The students must be able to
identify the common obstetric instruments
and to know the names of instrument. reflects
students 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
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? 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.
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Station 1 Abdominal examination to estimate
the duration of pregnancy and identify
presentation.
Students activity To do the abdominal
examination and to write the duration of
pregnancy on given paper. Examiner's activity
To assess the students performance by
using check list to collect written paper
from the student. Time 5 minutes Resources
A pregnant woman, paper and pen.
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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
Criterion The student must get ----
score out of ----
Signature of examiner
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Station 2 Factors determining the duration of
pregnancy (Written station)

• Students activity To write down the names of
  factors determining the duration of pregnancy.
• Examiners activity To help student about his/
  her task, to collect written answer sheet.
• Time 5 minutes.
• Resources Paper and pen.

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Station 3
Rest
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? 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.
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Assessment result
Students Name Roll Number Batch Number
Your results of assessment are listed below
Station 1 Abdominal Satisfactory/ exami
nation to Unsatisfactory estimate duration
of pregnancyStation 2 Pelvic examination to
Satisfactory/ determine cervical
Unsatisfactory scoreRegistrar Head
of the dept.Gynae and Obs Gynae and Obs.
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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.
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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.
Thank You