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A toolbox for conducting an online OSCE.

Mohamed H Shehata^1,2, Archana P Kumar^1,3, Mona R Arekat¹

¹College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Kingdom of Bahrain.

The Clinical Teacher

|October 16, 2020

Summary

This study details running an online Objective Structured Clinical Examination (OSCE) using Zoom. Examiners found the online OSCE valid for most clinical skills, with students reporting high acceptability.

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Area of Science:

Medical Education
Health Professions Education

Background:

Traditional Objective Structured Clinical Examinations (OSCEs) face challenges with remote delivery.
The COVID-19 pandemic necessitated rapid adaptation of assessment methods in medical education.

Purpose of the Study:

To document the process, tools, and lessons learned from conducting an online OSCE at the College of Medicine and Medical Sciences, Arabian Gulf University (CMMS-AGU).
To provide a framework for implementing and evaluating online clinical examinations.

Main Methods:

The study outlines a three-phase approach: Planning and Preparation, Implementation, and Evaluation.
Key elements included situation analysis, stakeholder alignment, resource mobilization, detailed planning (manpower, timings, stations), piloting, staff capacity building, and utilization of Zoom features.
Guiding questions for decision-making and a guide for process and outcome evaluation with key performance indicators were developed.

Main Results:

Examiners deemed the online OSCE valid for assessing clinical skills, excluding psychomotor skills.
Students reported a high level of acceptability for the online examination format.
The implementation phase highlighted the utility of piloting and staff capacity building.

Conclusions:

Online OSCEs can be a valid and acceptable method for assessing clinical skills in medical education, with careful planning and implementation.
The described toolbox and guiding principles offer a practical resource for institutions transitioning to online clinical assessments.
Continuous evaluation and adaptation are crucial for optimizing online OSCEs.