1. Father Muller Medical College & Hospital, Mangalore, Karnataka.
Interns skill evaluation through Objectively structured Clinical Evaluation(OSCE)- The Challenges
Dr Prathvi Shetty.
Father Muller Medical College & Hospital, Mangalore, Karnataka.
Results
Introduction
In achieving clinical competency, Interns are not only required to demonstrate that they know the facts which underpin clinical practice but also know how to apply these facts.
Crucially they also need to show that they can perform the clinical tasks and skills.
This facet of clinical competence relates more to behavioral than cognitive attributes.
OSCEs allows us to evaluate accurately the various domains of clinical competency .
Is it relevant? %
Does it imitate your training?96.4 %
Stations were difficult?14%
Was the examination stressful? 38%
Was there enough time? 95.4 %
Nature of assessment ? 96%
Students
Staff
Assuring that an Individual meets predetermined minimal qualification %
Identifying who need to repeat the programme. 84%
Assessing all aspects of the students (Knowledge, skill and attitude) 98%
Time given for stations. 97 %
Objective
To describe student and faculty perceptions of an OSCE
The challenges
Acceptability of the test.
Reliability and validity of stations.
To train examiner to objectively assess candidate performance based on the pre-set criteria.
Discussion
STUDENTS PERSPECTIVE
Covers a wide knowledge area and wide range of clinical skills
Reduces the chances of failing.
The setting and context of station felt authentic .
 THE OSCE TEAM
To dispense with personal preference
Manpower requirement.
 Recruitment and training of simulated Patient
Logistics of the examination process
Methods and Materials
Over a period of two years an exit exam in form of OSCE, for the outgoing interns have been conducted. Four batches have gone through with a total of 168 students.
OSCE design
Pass/Fail criteria
Exam preparation and Administration
Student perceptions
Faculty opinions
Conclusion
Organizing the exam is complex but once implemented can be an effective tool in evaluation of interns skills thereby standardizing the quality of interns.