Exploring the Feasibility of an Examiner-Worn Neck-Mounted Camera for Objective Structured Clinical Examination...

Area of Science:

• Medical Education
• Clinical Skills Assessment
• Wearable Technology

Background:

• Objective Structured Clinical Examinations (OSCEs) are standard for evaluating clinical competence but are resource-intensive.
• Limited availability of certified examiners drives exploration of alternative assessment methods.
• Wearable devices offer potential for recording clinical skills from an examiner's viewpoint.

Purpose of the Study:

• To assess the feasibility of using an examiner-worn, neck-mounted camera for OSCE scenario recording.
• To evaluate the evaluability of clinical performance from recorded video footage.

Main Methods:

• Nine medical educators participated in a simulated OSCE (ECG lead placement).
• Examiner-worn neck-mounted cameras and fixed cameras recorded scenarios.
• Video recordings were used for performance evaluation and comparison with live assessments.

Main Results:

• Neck-mounted cameras captured more evaluable items than fixed cameras, especially for fine motor skills.
• Agreement between live and video-based scoring showed moderate to high correlation (Cohen κ mean 0.67).
• Evaluators reported positive experiences, with noted areas for improvement in audio and comfort.

Conclusions:

• Examiner-worn neck-mounted cameras show potential as a supplementary tool for specific OSCE tasks.
• Further research is needed to refine the technology and integration into OSCE assessment protocols.
• The device may support review and verification processes alongside live evaluations.