3. OBSTJECTIVE STRUCTURED CLINICAL EXAMINATION
INTRODUCTION
OBJECTIVE: Examiners use a checklist for evaluating
the trainees.
STRUCTURED: Trainee sees the same problem and
perform the same tasks in the same time frame.
CLINICAL: The task are representative of those faced
in real clinical situation.
4. CONTD
Objective Structured Clinical Examination is a modern type of
examination often used in health sciences (e.g. medicine,
dentistry, nursing, pharmacy, and physiotherapy) to assess
clinical skill performance and competence in skills such as
communication, clinical examination, medical and nursing
procedures / prescription, exercise prescription, joint
mobilization / manipulation techniques and
interpretation of results
5. HISTORY OF Objective Structured Clinical
Examination
OSCE was developed in University of Dundee (Dundee, Scotland)
in the early 1975 by DR. Harden and his colleagues.
After some modification it was described in detail on 1979.
This method was the subject of an international conference in
Ottawa in 1985 and experience were exchanged about OSCE &
OSPE.
More than 50 countries accepted it.
Globally using now.
6. DEFINITION OF OBJECTIVE
STRUCTURED CLINICAL
EXAMINATION
“A multi dimensional practical
examination of clinical skills , as a
tool for assessing clinical
competence”
7. DEFINITION OF OBJECTIVE STRUCTURED
CLINICAL EXAMINATION
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
8. PURPOSES OF OBJECTIVE STRUCTURED
CLINICAL EXAMINATION
1.Use in both formative and summative assessment in
health profession education
2.Identify objective performance criteria for the skill being
examined
3.structured the performance criteria in checklist to
facilitate the identification of desired clinical skill
4.A requirement for accreditation in many health
professional programs
9. USES OF OBJECTIVE STRUCTURED CLINICAL
EXAMINATION
• Interpersonal and communication skills
• History-taking skills
• Physical examination of specific body systems
• Mental health assessment
• Clinical decision making, including the formation of
differential diagnosis
• Clinical problem-solving skills .
•
10. CONT..
Interpretation of clinical findings and investigations.
Management of a clinical situation, including
treatment and referral
Patient education .
Health promotion.
Acting safely and appropriately in an urgent clinical
situation.
Basic and advanced nursing care procedure
practices.
11. ORGANIZING THE OBJECTIVE STRUCTURED
CLINICAL EXAMINATION
• The OSCE examination consists of about 10-15
stations, each of which requires about 4-5 minutes.
The number of stations and time spent on each
station may vary based on needs of evaluation.
• All stations should be capable of being completed in
the same time.
• The students are rotated through all stations and
have to move to the next station at the signal.
12. CONT..
• As the stations are generally independent,
students can start at any procedure stations and
complete the cycle.
•Thus, using 15 stations of 4 minutes each, 15
students can complete the examination within 1
hour.
• Each station is designed to test a component of
clinical competence.
14. PROBLEMS OF USING OBJECTIVE STRUCTURED CLINICAL
EXAMINATION IN THE INDIAN SCENARIO
• Lack of feasibility due to time constrains.
• Shortage of training for use of OSCE.
• Shortage of observers/examiners.
• Lack of interest in examiners.
• Lack of enforced guidelines for practical
examination by universities number of students
examined and format of evaluation used
15. ADVANTAGES OF OBJECTIVE STRUCTURED
CLINICAL EXAMINATION
1.More valid than the traditional approach to
clinical examinations.
2.Examiners can decide in advance what is to he
tested and can then design the examination to test
these competencies.
3.Examiners can have better control on the
content and complexities.
4. Emphasis can be moved away from testing
factual knowledge to testing a wide range of skills
including advanced clinical skills.
16. CONT..
5.More reliable because variables of the examiner and
the patient are removed to a large extent.
6. The use of checklists by examiners and the use of
multiple choice questions results in a more objective
examination.
7. More practical because it can be used with a large
numbers of students.
17. DISADVANTAGES OF OBJECTIVE STRUCTURED
CLINICAL EXAMINATION
• Demanding for both examiners and patients.
• Examiners are required to pay close attention to
students repeating the same task on a number of
occasions.
• The time involved in setting up the examination is
greater than for the traditional examination.
18. RESEARCH ARTICLE
Objective Structured Clinical Examination: The Assessment of Choice
Marliyya Zayyan*
Abstract
The Objective Structured Clinical Examination is a versatile multipurpose
evaluative tool that can be utilized to assess health care professionals in
a clinical setting. It assesses competency, based on objective testing
through direct observation. It is precise, objective, and reproducible
allowing uniform testing of students for a wide range of clinical skills.
Unlike the traditional clinical exam, the OSCE could evaluate areas most
critical to performance of health care professionals such as
communication skills and ability to handle unpredictable patient
behavior.
20. CONCLUSION
The Objective Structured Clinical Examination has several distinct
advantages. In view of these, the nurse educators can adopt it
as an objective method for clinical evaluation. This will help
the students to improve their clinical competence. The
emphasis is on assessing what students can do rather than what
they know. Therefore, Objective Structured Clinical Examination
gives direction for attaining the ultimate aim of the teaching-
learning process
21. BIBLIOGRAPHY
1.Jaspreet K S, Comprehensive Textbook of Nursing
Education,First edition 2017, Jaypee Publication, Page No.219-222
2.Suresh K S, Communication And Education Technology In
Nursing, second Edition 2015,Elsevier publication,Page No.397-403
3.R Sudha,Nursing education principles and concepts,Frist Edition
2013, Jaypee Publication, Page No.187-188
4.
http://www.oscehome.com/What_is_Objective-Structured-Clinica
l-Examination_OSCE.html
5 http://www.oscepass.com/
