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Twelve tips for OSCE-style Tele-assessment.

Raymond Lewandowski1, Angela Stratton1, Tarun Sen Gupta2

  • 1The Australian College of Rural and Remote Medicine.

Mededpublish (2016)
|December 11, 2023
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Summary

The Australian College of Rural and Remote Medicine (ACRRM) offers flexible tele-assessment for rural doctors, enabling remote examinations. This approach, utilizing videoconferencing for the Structured Assessment using Multiple Patient Scenarios (StAMPS), reduces travel burdens for candidates and examiners.

Keywords:
high-stakes assessmentrural and remote medicinetechnologytele-assessment

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Area of Science:

  • Medical education
  • Remote assessment technologies
  • Rural health workforce development

Background:

  • The Australian College of Rural and Remote Medicine (ACRRM) has pioneered tele-assessment to enhance flexibility in its examination modalities.
  • Traditional assessments often require rural doctors to travel, creating significant logistical and personal challenges.
  • The Structured Assessment using Multiple Patient Scenarios (StAMPS) is a high-stakes examination combining Objective Structured Clinical Examination (OSCE) and viva voce formats.

Purpose of the Study:

  • To outline the experience and practical considerations of implementing a flexible tele-assessment approach for rural doctor examinations.
  • To detail the adaptation of the StAMPS examination for remote delivery, particularly in response to the SARS-CoV-2 pandemic.
  • To provide guidance based on twelve years of experience with tele-assessment, including a fully remote StAMPS examination.

Main Methods:

  • ACRRM developed and refined a tele-assessment strategy, utilizing videoconferencing for its StAMPS examination.
  • Since 2008, candidates have had the option to participate remotely, while examiners convened centrally.
  • In May 2020, a StAMPS assessment was conducted entirely via videoconference for 65 candidates due to pandemic-related travel restrictions.

Main Results:

  • Tele-assessment, including fully remote StAMPS examinations, has been successfully implemented, allowing participants to remain in their home communities.
  • The videoconferencing approach for StAMPS has proven to be a viable and flexible alternative to traditional in-person assessments.
  • Experience gained over twelve years informs the ongoing development and application of remote assessment modalities.

Conclusions:

  • Tele-assessment offers a flexible, valid, reliable, and fair approach to medical examinations for rural doctors.
  • The widespread adoption of videoconferencing for StAMPS demonstrates its effectiveness in overcoming geographical barriers.
  • Continued refinement of tele-assessment strategies is crucial for supporting the rural health workforce and ensuring equitable access to professional development.