Dr. A. K. AGARWAL DIR. PROFESSOR DEPARTMENT OF ENT & Ex DEAN MAULANA AZAD MEDICAL COLLEGE NEW DELHI.

IF YOU ARE NOT CERTAIN OF WHERE YOU ARE GOING YOU MAY VERY WELL END UP SOMEWHER E ELSE

THE EDUCATIONAL SPIRAL Defining Tasks and Educational Objectives

Implementing Evaluation Preparing and Implementing an Educational Programme

Planning An Evaluation System

HOWEVER RELIABLE OR OBJECTIVE A TEST MAY BE, IT IS OF NO VALUE IF IT DOES NOT MEASURE ABILITY TO PERFORM THE TASKS EXPECTED OF A HEALTH WORKER IN HIS / HER PROFESSIONAL CAPACITY..

WE DONT CARE HOW HARD THE STUDENT TRIED, WE DONT CARE HOW CLOSE HE GOT . . . UNTIL HE CAN PERFORM HE MUST NOT BE CERTIFIED AS BEING ABLE TO PERFORM
. . . R. F. MAGER

WHAT WE KNOW

WHAT WE DO

HOW WE DO IT

OBJECTIVE

STRUCTURED

CLINICAL EXAMINATION
[
OSCE

OBJECTIVE

Impartial

Uninfluenced by External factors

Unprejudiced

Detached

PRINCIPLE OF OSCE

OSCE STATIONS 20 TO 30 PROCEDURE QUESTIONS TIME : 5 - 6 mins ( 30 sec gap ) CAREFUL WATCH RELEVANT STEPS

RECORDED SCORED

CHECK LIST - PREPLANNED TOTAL TIME 2 3 HOURS

CRITERIA FOR THE PROCEDURE

Is Is Is

it valid ?

it reliable ?

it practical ?

COMPETENCE IN HISTORY TAKING

Interaction with patient

Rapport with the patient Empathy with the patient

Skill in interviewing
Pacing of questions Pattern of questions Response to answers

COMPETENCE IN PHYSICAL EXAMINATION

Examination

of a limited area Done in allocated time

INSPECTION
INTERPRETATION OF PATIENTS CHARTS OR LABORATORY INVESTIGATIONS

OTHER ASPECTS OF COMPETENCE

Patients education Interpersonal skills Surgical or Clinical Instruments Examination of specimens Aspects of physical Examination on plastic models Practical procedures Examination of the fundi

OSCE Overview
Station 3: Clinical exam. Station 2: History response Station 1: History taking Station 4 : Station 5: Examn. X Rays Responses Station 6: Qs. Based on X-ray Station7: Specimen &questions Station 9: Station : Instrument Problem based based Ques. Ques.

Station 10: VIVA

I. STAGE OF STUDENT
Final

Examination assessment

In-course Post

Graduate examinations

II. PURPOSE OF ASSESSMENT

Pass

/ Fail decision the area of deficiency feedback to the student

Identify Provide Select

students with particular skills

ORGANIZATION OF OSCE

Advance

Planning At Least 6 Mnths

on the day before the

Organization

examination
The

day of the examination

After

the examination

ADVANTAGES OF OSCE

More valid examination

More reliable

Large number of students Utilize junior examiners Appropriate feedback

DISADVANTAGES OF OSCE

Limited
Demanding

testing of skill

for examiner &patients

IT IS A HIGHLY QUESTIONABLE

PRACTICE TO LABEL SOMEONE AS

HAVING ACHIEVED A GOAL WHEN

YOU DONT EVEN KNOW WHAT YOU

WOULD TAKE AS EVIDENCE OF

ACHIEVEMENT
.. R.F.MAGER