1. 2 3 4 5 6 7 8 9 Skill Assessment of 4 th Year students in KMU.

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Skill Assessment Skill Assessment of 4of 4thth Year Year

students in KMUstudents in KMU

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Current situation of Current situation of assessment in KMUassessment in KMU

• We have two types of examination:We have two types of examination:1.1. WrittenWritten2.2. PracticalPractical

• Written exam is given by the Written exam is given by the following types of questions:following types of questions:

1.1. MCQs : 20 questions, each question MCQs : 20 questions, each question has 2.5 marks {total score is 50 has 2.5 marks {total score is 50 marks}marks}

2.2. SAQs: 10 questions, each question has SAQs: 10 questions, each question has 3 marks {total 30 marks}3 marks {total 30 marks}

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Cont…Cont…

• Practical exam is given from the Practical exam is given from the students about the history taking students about the history taking and physical examination in and physical examination in presence of patient immeasurably, presence of patient immeasurably, because there is no any standard because there is no any standard check list. {total marks are 15}check list. {total marks are 15}

• 5 marks are given for daily 5 marks are given for daily evaluation and attendance of the evaluation and attendance of the students. students.

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Aims of AssessmentAims of Assessment

• Comparing with standardComparing with standard• Providing feedbackProviding feedback• Information for decision making Information for decision making • Motivating learnersMotivating learners• Accreditation to educators and Accreditation to educators and

societysociety

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Formative and Summative Formative and Summative AssessmentAssessment

• Formative assessmentFormative assessment

To identify where and how to To identify where and how to improve during curriculum.improve during curriculum.

• Summative assessmentSummative assessment

To make decision {pass or fail} To make decision {pass or fail} at the end of curriculum.at the end of curriculum.

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Level of Clinical Level of Clinical Competence and Competence and

Assessment System- Miller Assessment System- Miller pyramidpyramid

Portfolio

OSCE

CRQ

MCQ

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GoalGoal

• Implementation of OSCE for the Implementation of OSCE for the standardized assessment of the standardized assessment of the students to obtain direct students to obtain direct assessment of skills and attitude assessment of skills and attitude and indirect assessment of and indirect assessment of knowledge.knowledge.

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So! What is an OSCE?So! What is an OSCE?

• OSCE or Objective Structured OSCE or Objective Structured Clinical Examination is a Clinical Examination is a practical exam to assess clinical practical exam to assess clinical skills such as medical interview, skills such as medical interview, physical examination, surgical physical examination, surgical skills and so on.skills and so on.

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Advantage of an OSCEAdvantage of an OSCE

• We can assess clinical skills.We can assess clinical skills.• We can design according to the We can design according to the

purpose, not by chance.purpose, not by chance.• The assessment can be objective or The assessment can be objective or

standardized using check list and standardized using check list and manuals.manuals.

• High efficiency of education with High efficiency of education with feedback to the students.feedback to the students.

• It will also be used by certification It will also be used by certification exam.exam.

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ObjectivesObjectives

• Assuring that an individual meets Assuring that an individual meets predetermined minimal qualifications.predetermined minimal qualifications.

• Identifying individuals who have Identifying individuals who have achieved a level required for achieved a level required for promotion of the student to next level promotion of the student to next level or who need to repeat the programme.or who need to repeat the programme.

• Allowing students to monitor their Allowing students to monitor their own learning .own learning .

• Assessing all aspects of the students Assessing all aspects of the students {knowledge , skills and attitude}.{knowledge , skills and attitude}.

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StrategyStrategy• Specification of 40% marks to practical Specification of 40% marks to practical

assessment.assessment.• Implementation of OSCE consisting of Implementation of OSCE consisting of

the following key points:the following key points:1.1. One examiner and one time keeper for One examiner and one time keeper for

each station.each station.2.2. Establishment of four following stations:Establishment of four following stations:

- Medical Interview- Medical Interview- Skin examination- Skin examination- Chest examination- Chest examination- Abdominal examination- Abdominal examination

3.3. Check list : { 80 items each has 0.5 Check list : { 80 items each has 0.5 points totally 40 points or marks}points totally 40 points or marks}

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Implementation AreaImplementation Area

• Ali Abad Teaching Hospital for Ali Abad Teaching Hospital for the first time.the first time.

• Afterward by improvement it will Afterward by improvement it will be implemented in Maiwand be implemented in Maiwand teaching hospital.teaching hospital.

• Finally we will try to start Finally we will try to start implementation of OSCE in other implementation of OSCE in other provincial university hospitals.provincial university hospitals.

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Time of implementationTime of implementation

• Last five days of the semester is Last five days of the semester is specified for 10 groups, each day specified for 10 groups, each day two groups will attend the exam.two groups will attend the exam.

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An example of OSCEAn example of OSCE10 minutes/station10 minutes/station

• StudentsStudents- Visit each station by - Visit each station by

rotation.rotation.

- Perform skills within time - Perform skills within time limits.limits.

• Examiner or RaterExaminer or Rater- Assess the skills with check - Assess the skills with check

list.list.

Medical Interview

Skin examination

Chestexamination

AbdominalExamination

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Check ListCheck List

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Schedule of Stations and Schedule of Stations and Time LimitationTime Limitation

Medical

Interview Station

Skin Station Chest

Station Abdomen

Station

9:00 - 9:10 A1 A2 A3 A4 9:10 – 9:20 A4 A1 A2 A3 9: 20 – 9:30 A3 A4 A1 A2 9: 30 – 9: 40 A2 A3 A4 A1 9: 40 – 9: 50 A5 A6 A7 A8 9: 50 – 10:00 A8 A5 A6 A7

10: 00 – 10 :10 A7 A8 A5 A6 10 : 10 – 10: 20 A6 A7 A8 A5

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Target GroupTarget Group

• 80 students of 480 students of 4thth year , first year , first semester divided into 10 groups semester divided into 10 groups of 8 students in each group.of 8 students in each group.

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ChallengesChallenges

• Station roomsStation rooms• Simulate patientsSimulate patients• Low experiencesLow experiences

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SuggestionsSuggestions

• Periodically refreshment courses Periodically refreshment courses for familiarization of KMU for familiarization of KMU lecturers with OSCE.lecturers with OSCE.

• Preparation of OSCE guidelines.Preparation of OSCE guidelines.• Training of simulated patients.Training of simulated patients.

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