Discussion Summary

The process -OSCE and OSPE


Assessments drive learning…..! but..

Learning should be self motivated

Contents:

Homepage - OSCE and OSPE

Compiled Responses

 The Beginning

 01.   Introduction and Basics of OSPE/OSCE

 02.   Is OSPE glorified spotting.. 

  03.   How to set up OSCE and OSPE stations..

 04.   How to collect the answer-sheets in OSCE/OSPE from students.

 05.   OSCE reliability

 06.   Levels of competencies in evaluation

 07.   Practical experiences of OSPE/OSCE

 08.   OSCE in testing Communication and attitudes

  09   Should knowledge be accessed in OSCE/OSPE

 10.   Simulated patients

 11. Examiner training...a must to do...

12.   Standard setting in OSCE

 13.   Disadvantages of OSCE

 

The process:

When planning to introduce OSCE/OSPE following important points are to be remembered-

  • Depending upon the curriculum, purpose and domain of the station must be clearly defined.
  • Identify the skills which the student must learn and thus need to be assessed.
  • Convert them into specific questions or task that can be answered in 4 to 5 minutes. This times can be variable (5-20min) and depends on the competencies to be assessed in the examination. 
  • Each question or task assigned is identified as an OSCE/OSPE station.
  • Station can be a procedure station or question station.
  • Procedure station can be an observed station, where you want the students to perform some specific task to accomplish the set objective under observation e.g. examination of the knee reflex.
  • Unobserved station is usually a question station. Here student is expected to give answers to some specific and structured question to make the concepts and understanding of the subject clear eg report the microscopic findings of a focused smear.
  • Third type of station is a rest station where student is given time to relax and refresh himself. 
  • Some of the stations can be linked to each other in an effort to evaluate a common objective requiring more time. They are also termed as Couplet Station.
  • Prepare a checklist with consensus from other members of the department.
  • Checklist is the most important component of OSCE/OSPE. This contains the vital steps which we want the students to follow to accomplish the identified procedure to fulfill the set objective.
  • Checklist should be complete with list of material required for that station, instructions to technical staff, with model answers and marks distribution 
  • Each step in the checklist can be given differential marks depending upon the significance of that step over another 
  • The number of stations can be variable but on an average 15 to 20 stations serve the purpose and are accepted to provide reliable and valid results.
  • Before subjecting students to the station it is good to review and validate the test by mock practice with PG residents or junior teachers. This makes sure that the task expected of the student can be accomplished within the time
  • Before examination students must be given  clear and concise instructions 
  • Examiners if not well versed with the process must also be clearly instructed about their role in observed stations.
  • If standardized patient (may be volunteers or paid employee) are involved they must be properly trained and given clear and detailed instructions to maintain uniformity on their part. It is a good practice to observe standardized patients do their part in front of a clinician.
  • Feed back stations can also be included to provide immediate feedback to students on performance at previous station or this may be done separately. 
  •  Try to keep back up support particularly of the standardized patients.

Thus OSCE is a form of multi-station examination where each student needs to answer all the stations. It can be used for assessment of all possible competencies that you want your students to acquire. It is one of the most versatile methods of assessment that nearly fulfills all the criteria of an ideal assessment method i.e. it is valid, reliable as well as feasible method.

 

 

 

Discussion Summary

Introduction

Origin and evolution of OSCE

What is OSCE OSPE..

Important terminologies OSCE and OSPE

Process - OSCE and OSPE

Competencies

Advantages OSCE and OSPE

Limitation OSCE and OSPE

The final words