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Related Experiment Videos

Assessment of clinical competence using objective structured examination.

R M Harden, M Stevenson, W W Downie

    British Medical Journal
    |February 22, 1975
    PubMed
    Summary

    The structured clinical examination offers a more objective and controlled assessment method for medical students compared to traditional exams. This innovative approach enhances feedback for students and staff, improving the overall educational assessment process.

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    Area of Science:

    • Medical Education
    • Clinical Assessment

    Background:

    • Traditional clinical examinations present numerous disadvantages in assessing medical students' practical skills and knowledge.
    • There is a need for more objective, controlled, and comprehensive assessment methods in clinical settings.

    Purpose of the Study:

    • To introduce and evaluate the structured clinical examination as an alternative to traditional methods.
    • To enhance the objectivity, control, and scope of clinical assessments for medical students.

    Main Methods:

    • Students rotate through various stations in a hospital ward, performing tasks like patient history taking or physical examination.
    • At subsequent stations, students answer questions related to previous findings, with multiple-choice questions minimizing cueing effects.
    • Examiners may observe and score student performance using checklists at specific stations.

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    Main Results:

    • The structured clinical examination allows for better control of variables and complexity, with clearly defined aims.
    • It enables the testing of a broader range of student knowledge in a more objective manner.
    • The examination facilitates advance decision-making for marking strategies and provides improved feedback.

    Conclusions:

    • The structured clinical examination offers a superior alternative to traditional methods by increasing objectivity and control.
    • This assessment model enhances the ability to test a wider scope of student knowledge and provides valuable feedback.
    • Implementation of structured clinical examinations can lead to improved educational outcomes and assessment reliability.