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Related Concept Videos

Methods of Documentation I: Source-Oriented Records01:18

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Source-oriented records, or SOR, are medical record-keeping organized by the data source. The SOR system was first developed in the mid-1900s to organize the growing patient data in hospitals and other healthcare facilities.
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Observational Studies01:11

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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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The objective structured clinical examination (OSCE) the true origins.

Fergus Gleeson1

  • 1Emeritus Associate Professor of Medicine, The Royal College of Surgeons in Ireland (RCSI), Retired Consultant Gastroenterologist, James Connolly Memorial Hospital, Dublin 15, Ireland. fergusgleeson3@gmail.com.

Irish Journal of Medical Science
|January 13, 2026
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Summary

The Objective Structured Clinical Examination (OSCE) originated in 1979, addressing concerns about clinical assessment objectivity and reliability. This paper details its true origins and Irish connections, correcting previous inaccuracies.

Keywords:
AssessmentClinical CompetenceDissertationObjective Structured Clinical Examination (OSCE)Steeplechase

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Area of Science:

  • Medical Education
  • Clinical Assessment
  • Psychometrics

Background:

  • Traditional clinical assessment methods faced challenges in objectivity, validity, and reliability.
  • Concerns existed regarding fairness in evaluating student clinical competence.
  • The Objective Structured Clinical Examination (OSCE) emerged to address these issues.

Purpose of the Study:

  • To accurately report the precise origins of the Objective Structured Clinical Examination (OSCE).
  • To detail the evidence-based narrative of OSCE's true genesis and its connections to the Royal College of Surgeons in Ireland (RCSI).
  • To correct previously inaccurately reported information regarding OSCE's inception.

Main Methods:

  • A detailed review of academic endeavors preceding the 1979 publication.
  • Analysis of the influences of the Steeplechase Examination method.
  • Examination of a joint paper from the University of Dundee and the University of Glasgow, and a dissertation for a Diploma in Educational Technology.

Main Results:

  • The term OSCE resulted from a combination of the Steeplechase Examination, a joint paper, and a dissertation.
  • The paper provides a detailed, evidence-based account of OSCE's origins.
  • Irish connections to the Royal College of Surgeons in Ireland (RCSI) are highlighted.

Conclusions:

  • The global recognition of OSCE stems from specific academic work in Dundee.
  • Accurate reporting of OSCE's origins is crucial for understanding its development.
  • The study clarifies the genesis of a significant tool in medical education assessment.