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OBJECTIVE STRUCTURED
CLINICAL EXAMINATION
(OSCE)
SaNI / CPD / THE 1ST NATIONAL WORKSHOP/ 4/12/2014
PRESENTED BY: Ms. ZAKIYA DOLOOLAT
REFERENCES
• Byrne E and Smyth S (2007) Lectures’ experiences and
perspectives of using an objective structured clinical
exanimation. Nurse Education in Practice. 8 (5) 283-289.
• Daniels V, Bordage G, Gierl M and Yudkowsky R (2014) effect
of clinically discriminating, evidence-based checklist items on
the reliability of scores from an internal medicine residency
OSCE. Advanced in Health Science Education. 19 497-506.
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CONT… REFERENCES
Harden R and Gleeson F (1979) Assessment of clinical
competency using objective structured clinical examination
(OSCE). Medical Education. 13 (30) 41-54.
Ovaisu E (2008) Clinical skills evaluation in a resource-
constrained environment. Medical Education. 42 (5) 513-514.
Rushforth H (2007) Objective structure clinical examination
(OSCE): review of literature and implications for nursing
education. Nurse Education Today. 27 (5) 481-490.
4
CONT… REFERENCES
Sandilands D, Gotzmann A, Roy M, Zumbo B and
Champlain A (2014) weighting checklist items and station
components on a larg-scale OSCE: is it worth the effort?.
Medical Teacher. 36 585-590.
Watson R, Stimpson A, Topping A and Porock Davina (2002)
Clinical competency assessment in nursing: a systematic
review of the literature. Journal of Advanced Nursing. 39 (5)
421-431.
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CONT… REFERENCES
• Wilkinson T and Frampton C (2004) Comprehensive
undergraduate medical assessments improve prediction of
clinical performance. Medical Education. 38 (10) 1111-1116.
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OBJECTIVES
•Orient the participants about the meaning
of OSCE.
•Determine the gaps and challenges facing
OSCE application in nursing education.
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INTRODUCTION
Assessment of student is an area of
concern for health care professionals.
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DEFINITIONS
Objective structured clinical examination
(OSCE) is an objective and standardized
assessment way that was used in assessing
the clinical ability of students.
(Zhong et al. 2009)
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CONT…. DEFINITIONS
‘Students demonstration of their
competence under a variety of simulated
conditions’.
(Watson et al. 2002)
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WHY OSCE?
•Harden and Gleeson (1979), and Byrne
and Smyth (2007) have reported that
there are deficiencies in the traditional
clinical examination/assessment methods.
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CONT…WHY OSCE?
•Rushforth (2006) along with other studies
reported that these assessment tools are
mainly useful in measuring cognitive
domain.
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CONT…. WHY OSCE?
•Due to the complexity and the advanced
changes in the health care profession there
is a need for an objective method.
(Wilkinson et al. 2004, Norris 2008)
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In Oman
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IS THERE OTHER NAMES FOR OSCE
OSCA
OSPE
OSPA
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OSCE REQUIRS
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STATIONS
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LECTURERS
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STUDENTS
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PATIENTS
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STANDARDIZED CHECKLIST
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EXAMPLE OSCE CASE (VIDEO)
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ADVANTAGES
•Objective
•Fair
•Testing a number of skills
•Testing a big number of students
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CONT… ADVANTAGES
•Using standardized checklist.
•Helped the students to acquire more depth in techniques and skills for practice.
•A safe practice.
(Daniels et al. 2014)
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CHALLENGES
•Require more time for preparation.
•Stressful & Costly.
•Inflexibility checklist (Fail/ pass criteria)
•Inconsistency of marking if the examiners
are untrained.
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CONT… CHALLENGES
•Noise in the stations.
•Equipment not enough.
•Insufficient time in the stations.
•Need trained technician to oversee the
videotaping and labeling them.
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Are
we
ready?
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RECOMMENDATIONS
•Collect data about OSCE.
•Listen to the user views.
•Seek for help if you need it.
•Give sufficient time for preparation.
•Start with Pilot study.
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CONT… RECOMMENDATIONS
•Test OSCE assessment tools for validity
and reliability.
•Develop a formal and consistent method
of selecting and training SPs for OSCE.
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CONT… RECOMMENDATIONS
•Assign an individual to collect student
data at the completion of each OSCE
station so that all items are completed on
the instruments used and all data collected
are filed for data entry.
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CONT… RECOMMENDATIONS
•Develop a review session for returning SPs
to update their skills prior to each OSCE.
•Hire a trained technician. or audiovisual
recording company.
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