A Critical Eye on OSCE Use: A Framework for Evaluating Impact, Efficiency, and Sustainability
Justine S Gortney1, Lisa M Meny2, Brianne L Dunn3
1Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, MI, USA.
American Journal of Pharmaceutical Education
|January 31, 2026
Summary
Objective Structured Clinical Examinations (OSCEs) enhance pharmacy education by assessing skills and providing feedback. The IDEAL-R framework guides their thoughtful integration to maximize educational impact and resource use.
Area of Science:
- Pharmacy Education
- Skills Assessment
- Curriculum Development
Background:
- Objective Structured Clinical Examinations (OSCEs) are vital for assessing pharmacy student competencies.
- Integrating OSCEs effectively is crucial given evolving professional landscapes and academic challenges.
Purpose of the Study:
- To present the IDEAL-R decision framework for meaningful OSCE integration in pharmacy curricula.
- To guide programs in optimizing resource utilization and enhancing educational impact and sustainability of OSCEs.
Main Methods:
- The commentary proposes a critical lens for evaluating OSCE implementation.
- It outlines key considerations for faculty, students, and programmatic balance.
Main Results:
- OSCEs assess skills-based competencies and Entrustable Professional Activities through realistic patient simulations.
- They facilitate formative/summative feedback, student self-reflection, and identification of struggling students.
Conclusions:
- Thoughtful OSCE integration requires addressing faculty workload and student test anxiety.
- The IDEAL-R framework aims to ensure OSCEs complement existing assessments and are sustainable.
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