13. Disadvantages of OSCE
I seldom think of my limitations, and they never make me sad.
Perhaps there is just a touch of yearning at times;
but it is vague, like a breeze among flowers.
Disadvantages of OSCE
Praveen: I am sorry that I had been busy for last few days due to certain unavoidable committments at both personal & Institutional level.
1) Its very resource intensive.
I am herewith sending an article " Critique on OSCE" complimenting our topic.
Barmen A. Critiques of Objective structured clinical examination. Ann Acad Med Singapore 2005;34:478-82< xml="true" ns="urn:schemas-microsoft-com:office:office" prefix="o" namespace="">
Anupama: Some problems with OSPE in Pharmacology can be:
Sita: As we are discussing the disadvantages of OSCE, here is an article which highlights the importance of a well made checklist. The effectiveness of OSCE depends on the reliability of the checklist More list items does not necessarily result in better examination, since greater the number of items increases the chance of poor reliability and validity
Suhattaya B, Polpun B, Duenpen H Sirirat T Piyaporn B Reliability of a Peer Checklist for Performance Setting Spinal Anesthesia and Bird’s Ventilator: Objective, Structured Clinical Examination (OSCE)
Anupama Sukhlecha: In OSCE, Some drawbacks can be: there is risk of observer fatigue if the observer has to record the performance of several candidates on lengthy check lists. All stations must invariably demand only equal time. Ensuring this, therefore, requires careful organization. Also, it is considered by many that breaking clinical skills into individual competencies is artificial and not meaningful.
Dr Tejinder Singh: Agreed - but OSCE is thought of as the most low expertise method of
Praveen : Moral will be well taken by all of us. We will definitely give our 100% effort on all the factors at hand and will not make it just an event.
We will take the listed disadvantages as challenge so that they can be removed/adjusted/minimized, to make it the process best from our side.
Combining OSCE with other methods like long case or viva improves reliability by increasing the sample of competencies and skills, taking care of content specificity.
Suman Singh: As very rightly mentioned by our learned teachers and now experienced by most of us, learning by students is directed by the method of assessment and for effective learning we need to give enough time to the process of evaluation and most of the limitations mentioned by Praveen are necessary for achieving the purpose for which evaluation is targeted. So in my views if we need to do justice to the learning process we should be ready to spare time and resources with proper planning.
Other limiting factors like proper entries by the students, problem of leaking the stations are inherent in all the methods.
OSCE must always be one of the components of evaluation process so that problems like non-holistic judgment do not arise.
If we introduce the method gradually training of both the internal and external faculty would not create problems.
Can we overcome Observers fatigue by giving them small breaks or rotate the stations so as to break the monotony?
Praveen: Yes, you are right, observer fatigue can be done with small breaks or making two set of observers which can be changed after two rounds of OSCE.
Praveen: As of now we can see that most of the concepts of OSCE/OSPE stand clear, still if there is any query/inquisitiveness/difficult concept, we can discuss it over here.
Moderators: Dr Praveen R Singh and Dr Suman P Singh
Faculty: Dr Payal Bansal and Dr Tejinder Singh