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A multi-format interdisciplinary final examination

J P Collins1, G D Gamble

  • 1School of Medicine, University of Auckland, New Zealand.

Medical Education
|July 1, 1996
PubMed
Summary
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The Objective Structured Clinical Examination (OSCE) with simulated patients effectively assesses medical student competence. Multiple assessment methods are crucial for evaluating clinical skills and ensuring comprehensive evaluation.

Area of Science:

  • Medical Education
  • Clinical Competence Assessment
  • Healthcare Simulation

Background:

  • Traditional medical examinations face limitations in assessing clinical competence.
  • Simulated patients and Objective Structured Clinical Examinations (OSCE) emerged as innovative assessment tools.
  • The Auckland School of Medicine sought to enhance its final medical examination process.

Purpose of the Study:

  • To evaluate an interdisciplinary OSCE incorporating simulated patients as a supplement to traditional assessment methods.
  • To determine the discriminatory power and correlations between OSCE, written papers, and long case examinations.
  • To analyze the overall variance in final assessment and the contribution of each examination mode.

Main Methods:

  • An interdisciplinary OSCE involving simulated patients and nine disciplines was implemented.

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  • Six hundred and eight medical students were assessed over a six-year period.
  • Principal component analysis was used to analyze the final assessment data.
  • Main Results:

    • All three examination modes (OSCE, written papers, long case) demonstrated good discriminatory power.
    • Significant correlations were found between the different assessment methods.
    • A single factor accounted for over half the variance in the final assessment, equally weighted across the three examinations.

    Conclusions:

    • A variety of assessment methods are necessary for comprehensive evaluation of student competence.
    • Emphasis should be placed on methods that foster clinical skill learning and assessment simultaneously.
    • The implemented OSCE was supported by students and faculty, enhancing clinical skills learning.