Discussion Summary

What is OSCE OSPE..


The OSCE is an approach to the assessment of clinical competence in which the components of competence are assessed in a planned or structured way with attention being paid to the objectivity of the examination

- Harden, 1988 .

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

 

As the name suggests, it is a method of evaluating student’s clinical competence in a planned, structure with well defined objectives,   which may be a small component of a larger clinical competence eg history taking , examining the pulse or even interpretation of a laboratory investigation.

In this system of evaluation the students are rotated around a number of pre-identified and planned stations. At each station they may be asked to carry out a small procedure, such as take a history of a given case, taking informed consent for some surgical procedure, undertake one component of physical examination, or interpret laboratory investigations or reveal the diagnosis or laboratory results to a patient, and at the next station they may be required to answer questions on the findings at the previous station along with their interpretation or some questions related to test the understanding of the concepts and knowledge may be asked. All the students are required to undertake all the stations and they move in one direction. At stations where student is required to perform he/she may be observed and scored at by the observer using a check list. The marking strategy is also decided in advance. Thus the whole process is well defined, planned, objective, and structured with good amount of control over the variables like the quality of student, the type of patient, and the mood of the examiner. This has now become a fairer and reproducible method of student’s evaluation.

The most important aspect of this method of evaluation is that it has scope for improving the teaching learning process in total through feedback.
 
Important terminologies:
OSCE: Objective Structured Clinical Examination
OSPE: Objective Structured Practical Examination
COSPE: Computerised Objective Structured Practical Examination
GOSCE (TOSCE): Group(Team) Objective Structured Practical Examination
OSLER:          Objective structural Long Examination Record
Station: each task assigned to the student is termed as a station. Depending upon the nature of task we can have following types of stations-

  1. Procedure Station: The student is expected to perform a decided task in front of an observer who observes the student while doing the task and gives marks as per the provided checklist
  2. Response Station: The student is expected to respond to certain questions , either based on the previous procedure station or chosen separately to evaluate areas of knowledge, interpretation, problem solving etc.
  3. Question stations are a type of Response stations, meant to test the knowledge part of the skills tested in prior stations.
  4. Rest Station: These stations are meant to give a break to the students.
  5. Critical Stations: These stations are the must pass stations as they are meant to judge the most important and critical component of students curriculum.

SP : Simulated or standardized patients.

 

 

 

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