OBJECTIVE STRUCTURED

CLINICAL EXAMINATION

(OSCE)

SaNI / CPD / THE 1ST NATIONAL WORKSHOP/ 4/12/2014

PRESENTED BY: Ms. ZAKIYA DOLOOLAT

REFERENCES

• Byrne E and Smyth S (2007) Lectures’ experiences and

perspectives of using an objective structured clinical

exanimation. Nurse Education in Practice. 8 (5) 283-289.

• Daniels V, Bordage G, Gierl M and Yudkowsky R (2014) effect

of clinically discriminating, evidence-based checklist items on

the reliability of scores from an internal medicine residency

OSCE. Advanced in Health Science Education. 19 497-506.

3

CONT… REFERENCES

Harden R and Gleeson F (1979) Assessment of clinical

competency using objective structured clinical examination

(OSCE). Medical Education. 13 (30) 41-54.

Ovaisu E (2008) Clinical skills evaluation in a resource-

constrained environment. Medical Education. 42 (5) 513-514.

Rushforth H (2007) Objective structure clinical examination

(OSCE): review of literature and implications for nursing

education. Nurse Education Today. 27 (5) 481-490.

4

CONT… REFERENCES

Sandilands D, Gotzmann A, Roy M, Zumbo B and

Champlain A (2014) weighting checklist items and station

components on a larg-scale OSCE: is it worth the effort?.

Medical Teacher. 36 585-590.

Watson R, Stimpson A, Topping A and Porock Davina (2002)

Clinical competency assessment in nursing: a systematic

review of the literature. Journal of Advanced Nursing. 39 (5)

421-431.

5

CONT… REFERENCES

• Wilkinson T and Frampton C (2004) Comprehensive

undergraduate medical assessments improve prediction of

clinical performance. Medical Education. 38 (10) 1111-1116.

6

OBJECTIVES

•Orient the participants about the meaning

of OSCE.

•Determine the gaps and challenges facing

OSCE application in nursing education.

7

INTRODUCTION

Assessment of student is an area of

concern for health care professionals.

8

DEFINITIONS

Objective structured clinical examination

(OSCE) is an objective and standardized

assessment way that was used in assessing

the clinical ability of students.

(Zhong et al. 2009)

9

CONT…. DEFINITIONS

‘Students demonstration of their

competence under a variety of simulated

conditions’.

(Watson et al. 2002)

10

WHY OSCE?

•Harden and Gleeson (1979), and Byrne

and Smyth (2007) have reported that

there are deficiencies in the traditional

clinical examination/assessment methods.

11

CONT…WHY OSCE?

•Rushforth (2006) along with other studies

reported that these assessment tools are

mainly useful in measuring cognitive

domain.

12

CONT…. WHY OSCE?

•Due to the complexity and the advanced

changes in the health care profession there

is a need for an objective method.

(Wilkinson et al. 2004, Norris 2008)

13

In Oman

14

IS THERE OTHER NAMES FOR OSCE

OSCA

OSPE

OSPA

15

OSCE REQUIRS

16

STATIONS

17

18

LECTURERS

19

STUDENTS

20

PATIENTS

21

STANDARDIZED CHECKLIST

22

EXAMPLE OSCE CASE (VIDEO)

23

ADVANTAGES

•Objective

•Fair

•Testing a number of skills

•Testing a big number of students

24

CONT… ADVANTAGES

•Using standardized checklist.

•Helped the students to acquire more depth in techniques and skills for practice.

•A safe practice.

(Daniels et al. 2014)

25

CHALLENGES

•Require more time for preparation.

•Stressful & Costly.

•Inflexibility checklist (Fail/ pass criteria)

•Inconsistency of marking if the examiners

are untrained.

26

CONT… CHALLENGES

•Noise in the stations.

•Equipment not enough.

•Insufficient time in the stations.

•Need trained technician to oversee the

videotaping and labeling them.

27

Are

we

ready?

28

RECOMMENDATIONS

•Collect data about OSCE.

•Listen to the user views.

•Seek for help if you need it.

•Give sufficient time for preparation.

•Start with Pilot study.

29

CONT… RECOMMENDATIONS

•Test OSCE assessment tools for validity

and reliability.

•Develop a formal and consistent method

of selecting and training SPs for OSCE.

30

CONT… RECOMMENDATIONS

•Assign an individual to collect student

data at the completion of each OSCE

station so that all items are completed on

the instruments used and all data collected

are filed for data entry.

31

CONT… RECOMMENDATIONS

•Develop a review session for returning SPs

to update their skills prior to each OSCE.

•Hire a trained technician. or audiovisual

recording company.

32

33