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[The objective-structured clinical examination (OSCE)]

H P Wassermann, B R Slabbert, J J van Zyl

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |February 27, 1982
    PubMed
    Summary

    The objective-structured clinical examination (OSCE) effectively evaluates clinical skills like history and physical exams in medical students. This method is well-accepted by students and examiners, proving to be a valuable learning tool.

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    Area of Science:

    • Medical Education
    • Clinical Skills Assessment

    Background:

    • Traditional clinical skills assessment methods have limitations.
    • Objective-structured clinical examination (OSCE) offers a standardized approach.

    Purpose of the Study:

    • To evaluate the objective-structured clinical examination (OSCE) for assessing history and physical examination skills.
    • To compare OSCE results with conventional assessment methods.
    • To gauge student and examiner acceptability of the OSCE.

    Main Methods:

    • Implemented OSCE for history and physical examination skills in two third-year medical classes.
    • Conducted parallel assessments using conventional methods in Paediatrics and Obstetrics/Gynaecology.
    • Analyzed results for comparability and correlation with overall marks.

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    Main Results:

    • OSCE results were comparable to conventional assessment methods.
    • Significant Spearman rank correlations were observed between OSCE and overall marks.
    • High acceptability reported by 93% of students, who viewed it as a learning experience.
    • Both students and examiners found the OSCE objective and fair.

    Conclusions:

    • The objective-structured clinical examination (OSCE) is a valid and reliable tool for assessing specific clinical skills.
    • OSCE is highly acceptable to students and examiners, enhancing the learning process.
    • Warrants wider adoption across disciplines and for various skills in medical curricula.