Transcript OSCE Oriantation

Objectives Structured Clinical
Examinations (OSCE)
By: Raniah Al-jaizani, M.Sc
Background

Traditional assessment methods useful for
evaluation of knowledge, but not necessarily of
skills

Clinical skills represents amalgam of clinical
knowledge and communication/interpersonal &
problem-solving skills

Performance based assessment provides unique
vehicle for measurement of clinical skills
What is OSCE

Objective

Structured

Clinical

Examination
OSCE - Objectives

All the candidates are presented with the same
test
OSCE - Structured

The marking scheme for each station is structured

Specific skill modalities are tested at each station

History taking

Explanation

Clinical examination

Procedures
OSCE – Clinical Examination

Test of performance of clinical skills: not a test of
knowledge

The candidates have to demonstrate their skills
Why we Need OSCE?

The desire to improve the quality of our
evaluation techniques and ever-changing
curriculum

Such a test would be very helpful & gives a better
evaluation of students therapeutic decisionmaking & performance in therapeutic courses

Realizing that skills domain is difficult to test
with either written examination format
Defining OSCE




OSCE consists of multiple short (5-20 minute)
stations
Each is examined on one-to-one basis with:
examiner & real/simulated patient known as
standardized patients (SP)
SP are persons trained to simulate a medical
condition in a standardized way, each station
requires the candidate to perform a specified
task/series of tasks
Stations may be active or non-active
OSCE Stations

Based on therapeutic topics we will cover it in 442 PHCL
you will be dealing with 3 active stations

For each station you will be given 10 minutes

Each station will consist of a SP which in your case will be
an actor.

Before the station you will be given a form. Which includes
a task (e.g. recommend dose adjustment in case of..) &
instructions (e.g. a physician approaches you with
questions about adjusting medication in case of….)
OSCE Stations

You will enter the station & introduce yourself to the SP

The SP will handle the case according to a specific training

SPs follow a certain script to play with you during the
encounter

These scripts are written in details including patient
general look, cloths, emotions, and all negative and positive
answer

In order to evaluate you the SP and/or the OSCEs
examiners will be given a checklist to fill out while
observing you
OSCE Stations

These checklists are standardized to reduce examiners'
bias

On these checklists, there are station specific points (i.e.
points to cover the case in particular) & general
performance points (i.e. points to cover general things like
introducing yourself)

SPs will reveal information when specific related questions
are asked. For example, if you don't ask about all their
medication now and in the past, they won’t give you the list
of medications they are taking
Check List (Evaluation Form)

Medical knowledge specific to this station, such us,
symptoms, signs, associated factors, risk factors,
management plan….

Data gathering skills: Your way of patient information
collection

Documentation: summarizing the findings of the patient
encounter & initial patient work-up

Communication & interpersonal skills
OSCE Test for Therapeutic II
Do I need to study for the test?

In normal circumstances the test would be part of the
course evaluation so you will need to study
Do I need to bring anything with
me?

Your brains!

Your smile 

A calculator
Will you provide me with anything
in the station?

The station form including: Your task & instructions

Some stations require having a drug information
handbook, in such situations we will provide for you
How will I move from a station to
another?

Depending on the availability of SP you will enter the room
and wait in front each station

Each station will be marked with a number including rest
stations

You will be given clear instructions on how & where to
move during the exam
How will I move from a station to
another?

You will now enter the first station

After 10 minutes a bill will ring you will all come out of the
stations, & a second bill will ring which means move to the
next station but do not enter, then a third bill will ring
which means enter the station

So there will be 3 bills
What are the stations available on
the day of examination?

In usual circumstances you should not know the stations,
but it depends on what you have covered over therapeutic
courses.
What are the stations available on
the day of examination?
1.
Diabetic patient education on how to use insulin
2.
Adverse drug reactions: antihyperlipidemic
3.
Adverse drug reactions: antidiabetic
4.
Prevention of secondary diabetes complications
5.
Type II diabetic patient with compromised kidney or liver
functions
What are the stations available on
the day of examination?
6.
Patient with newly diagnosed respiratory tuberculosis
7.
Antibiotic dosage adjustment in meningitis &
compromised kidney function
8.
Osteoporosis patients starting new treatment
9.
Patient on lipid lowering drug requiring counseling
10.
Switching from sliding scale to regular insulin dosing
11.
Case puzzle
“I cannot say whether things will get
better if we change; what I can say is they
must change if they are to get better”
Georg C. Lichtenberg