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Related Experiment Video

Updated: May 21, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Implementing the objective structured clinical examination in a geriatrics fellowship program-a 3-year experience.

Thiago J Avelino-Silva1, Luiz A Gil, Claudia K Suemoto

  • 1Division of Geriatrics, Department of Internal Medicine, University of São Paulo Medical School, São Paulo, Brazil. tsilva87@gmail.com

Journal of the American Geriatrics Society
|June 26, 2012
PubMed
Summary

The Objective Structured Clinical Examination (OSCE) effectively assesses geriatric fellows

Related Experiment Videos

Last Updated: May 21, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Area of Science:

  • Medical Education
  • Geriatric Medicine
  • Clinical Skills Assessment

Background:

  • Traditional essay examinations have limitations in assessing comprehensive clinical competence.
  • The Objective Structured Clinical Examination (OSCE) offers a structured approach to evaluating medical knowledge and clinical skills.
  • Geriatrics fellowship programs require robust assessment tools for trainees.

Purpose of the Study:

  • To implement and evaluate an Objective Structured Clinical Examination (OSCE) model within a geriatrics fellowship program.
  • To compare the effectiveness of the OSCE with traditional essay examinations in assessing geriatric fellows.
  • To analyze performance differences between clinical knowledge and communication skills within the OSCE.

Main Methods:

  • Seventy first- and second-year geriatric fellows participated.
  • Fellows completed a traditional essay examination and an eight-station OSCE.
  • OSCE stations assessed geriatric knowledge, clinical skills, and communication, with scores based on predefined checklists.

Main Results:

  • The OSCE was successfully implemented, requiring more time than essay exams but yielding higher overall scores (6.6 vs. 6.2).
  • Fellows performed significantly better on communication skills items (CSI) than clinical knowledge items (CKI) within the OSCE (8.4 vs. 6.4).
  • Performance on the essay exam correlated with CKI but not CSI; second-year fellows outperformed first-year fellows in essay and CKI, but not CSI.

Conclusions:

  • The OSCE is a viable and effective assessment tool for geriatrics fellowship training.
  • Combining OSCE with traditional methods provides a comprehensive evaluation of competence across knowledge, skills, and behaviors.
  • OSCEs highlight the importance of communication skills alongside clinical knowledge in geriatric care.