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Canadian experience with structured clinical examinations

P Grand'Maison1, J Lescop, C A Brailovsky

  • 1Département de médecine de famille, Université de Sherbrooke, Que.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|May 1, 1993
PubMed
Summary

Structured clinical examinations, including simulated-standardized patients and objective-structured clinical examinations, have grown in medical education over 25 years. This review highlights Canadian contributions to their development and use in licensure and certification.

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Area of Science:

  • Medical Education
  • Clinical Assessment

Background:

  • Structured clinical examinations have increased in medical education over the last 25 years.
  • Canadian medical educators have significantly contributed to the advancement of these assessment techniques.

Purpose of the Study:

  • To review the evolution and application of structured clinical examinations in Canada.
  • To examine the role of these assessments in medical licensure and certification.

Main Methods:

  • Review of the Canadian experience with structured clinical examinations.
  • Tracing the development from simulated-standardized patients to objective-structured clinical examinations.
  • Analysis of their use in professional evaluation.

Main Results:

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  • Significant growth in the adoption of structured clinical examinations in Canada.
  • Key contributions from Canadian medical educators in refining assessment methodologies.
  • Established use of these examinations for licensure and certification.

Conclusions:

  • Structured clinical examinations are a vital tool for evaluating medical trainees and professionals.
  • The Canadian model offers valuable insights into the implementation and progression of objective clinical assessments.
  • Continued development and application of these methods are crucial for maintaining high standards in medical practice.