Objective structured clinical examination for undergraduates: Is it a feasible approach to standardized assessment in India?

Abstract

Background:There has been a growing concern among medical educators about the quality of medical graduates trained in various medical colleges in our country. Data based on the faculty and student perceptions of undergraduate curriculum indicate a need for laying more stress on practical skills during their training and assessment. The Objective Structured Clinical Examination (OSCE) is a reliable and an established and effective multistation test for the assessment of practical skills in an objective and a transparent manner. The aim of this article is to sensitize universities, examiners, organizers, faculty, and students across India to OSCE.Materials and Methods:We designed an assessment based on 22-station OSCE and administered it to 67 students during their final year, integrating all the domains of learning, that is higher order cognitive domain, psychomotor domain, and affective domain. Data analysis was done using SPSS version 15.Results:The OSCE was feasible to conduct and had high perceived construct validity. There was a significant correlation between the station score and total examination score for 19 stations. The reliability of this OSCE was 0.778. Both students and faculty members expressed a high degree of satisfaction with the format.Conclusion:Integrating a range of modalities into an OSCE in ophthalmology appears to represent a valid and reliable method of examination. The biggest limitation with this format was the direct expenditure of time and energy of those organizing an OSCE; therefore, sustaining the motivation of faculty might pose a challenge.

Exame Clínico Estruturado Como Ferramenta Educacional Na Área De Saúde: Revisão Integrativa

“…Por fim, alguns autores asseveraram que o ECOE é pertinente à avaliação da competência clínica e, por isso, elevar a qualidade do respectivo exame é uma questão primordial na atualidade, tendo em vista que os avanços no ECOE são refletidos na melhoria da qualidade do ensino e formação profissional (15,17,18,(20)(21)(22)(23)(24)26) . A confiabilidade geral do ECOE foi satisfatória quando confrontada com estudos similares (26) .…”

Ophthalmology Teaching-Learning in Undergraduate Classes: Roadblocks and The Remedies

“…Assessment requires more emphasis on formative assessment and augmentation of the traditional methods of examination with introduction of valid and reliable tools like Objective structured clinical examination (OSCE) [4]. OSCE offers a valid and reliable testing of a wide range of skill and attitude [5]. Current pattern of one long case, always a case of cataract and two short cases offers little room for assessment of a spectrum of skills.…”

Examining validity and reliability of objective structured clinical examination for evaluation of clinical skills of midwifery undergraduate students: a descriptive study

“…One of the most reliable and trusted methods to evaluate medical techniques is Objective Structured Clinical Examination (OSCE), which is mainly designed to evaluate clinical competency [9]. The point is that the traditional written and oral tests only measure the clinical knowledge while OSCE evaluates both the knowledge and skill [10]. In addition, the available clinical knowledge are not free from validity and reliability limitations.…”