1. Objective vs Subjective
M3 OSCE

2. OSCE
Objective
Structured
Clinical
Examination

3. Written Tests: What do you know?
Shelf exams
Step exams

4. OSCE: What can you do with what you know?
Knowledge
Reasoning
Communication
Technical Skills

5. Our M3 OSCE 2 hours 8 clinical stations Educational Inspirational
Evaluative

6. Chicken Wing Suturing Close a laceration 3 interrupted sutures
Two-handed surgeon’s knot

8. Objective Grading

9. Subjective Grading

10. Which is better? Some studies say Subjective is better
Some studies say Subjective is the same
What does “better” mean?
Fairness?
Consistency?
Predictive of Written Test Scores?
Predictive of “better” doctors?

11. Does the Objective Matter?

12. Types of Stations

13. 12 Month Review

14. 1st vs 2nd Six Months

15. Subjective Scored Higher, particularly in the 1st half of the year

16. Unresolved Issues Are we measuring different things?
Different faculty grade differently
Validation of checklists
Which is more reliable?
Subjective vs Objective is complicated