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Idea of “OSCE” in obstetrics in brief

Idea of “OSCE” in obstetrics in brief. Dr. Manal behery Assistant professor Zagazig university 2013. OSCE. O : OBJECTIVE S : STRUCTURED C : CLINICAL E : EXAMINATION.

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Idea of “OSCE” in obstetrics in brief

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  1. Idea of “OSCE” in obstetrics in brief Dr. Manalbehery Assistant professor Zagazig university 2013

  2. OSCE O : OBJECTIVE S: STRUCTURED C: CLINICAL E: EXAMINATION

  3. Means fair and without bias. Most examination in the world are not fair. Use of checklist ensures objectivity. • Rather than subjective, which is where the examiners decide whether or not the candidate fails based on their subjective assessment of their skills. Objective

  4. Refer to the organization of the examination • The OSCE is carefully structured to include parts from all elements of the curriculum as well as a wide range of skills. • Instructions are carefully written to ensure that the candidate is given a very specific task to complete. Structured

  5. the station are clinical in nature. • . It is an examination with usually declares those who are competent to handle patients. • the candidate is only asked questions that are on the mark sheet and if the candidate is asked any others then there will be no marks for them. Clinical exam

  6. OSCE ? • Objective Structured Clinical Examination • OR • Over Stimulation and Crying Event • OR • Opportunity for Showing your Competence and Excellence

  7. OSCE • Why OSCE? • WHAT DOES IT TEST ? • HOW TO RUN IT?

  8. WHY OSCE ? • Increase validity and reliability • More certain mapping to curriculum • Better standard setting (pass score) • More fair? • More fun?

  9. Long case • One hour with the patient • Full history and exam not observed • Examiner bias .... unstructured questioning … little agreement between examiners • Some easy patients .. some hard ones • Some co-operative patients … some not • Not a test of communication skills

  10. With OSCE • Clinical skill – history, exam, procedure • Marking structured and determined in advance • Time limit • Checklist/global rating scale • Real patient/actor • Every candidate has the same test

  11. OSCEs – reliable • Less dependent on examiner’s foibles (as there are lots of examiners) • Less dependent on patient’s foibles (as there are lots of patients) • Structured marking • More stations … more reliable • Wider sampling – clinical, communication skills

  12. OSCEs – valid • Content validity – how well sampling of skills matches the learning outcomes of the course • Construct validity – people who performed well on this test have better skills than those who did not perform well • Length of station should be “authentic”

  13. OSCE performance • Lucky? • Nervous? • Confident? • Uncertain? • Competent? • Practised? • Understood?

  14. OSCE performance?

  15. What does it test ? 1. History taking. • Factual knowledge. 3. Interpretation of laboratory results and clinical data. • Ability to formulate dd. 5. Counseling skills. 6. Clinical problem solving.

  16. OSCEs – acceptability Perceived fairness – examiners and examinees Become widespread

  17. OSCE design - blueprinting Map assessment to curriculum Adequate sampling Feasibility – real patients, actors. manikins

  18. 1- Uniform scenarios for all candidates2. Availability3. Safety, no danger of injury to patients4. No risk of litigation5. Feedback from Actors (simulators)6. Allows for Recall7. Stations can be tailored to level of skills to be assessed8. Allows for teaching audit9. Allows for demonstration of emergency skills Advantage of OSCE

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