OBJECTIVE STRUCTURED CLINICAL EXAMINATION AS A MEASURE OF PRACTICAL TRAINING OF FUTURE DOCTOR
DOI:
https://doi.org/10.11603/me.2414-5998.2019.3.10116Keywords:
objective structured clinical examination, competetencies, evaluation, checklistAbstract
The aim of the work – to analyze the effectiveness of evaluating medical competencies through an objective, structured clinical examination.
The main body. During the exam, the student performs 12 tasks at 12 stations. The time allocated to each of them is 6 minutes, and the time between them – 1 minute. Depending on what competence is to be tested, the stations are divided into 4 main types: communicative, cognitive, manual (basic and complicated) or manipulation. However, such a division is rather arbitrary; at any station it is impossible to assess the isolated competence, since they are interpenetrating. In order to achieve high reliability and objectivity of control of students’ knowledge, a student is evaluated for the same tasks (for one group), by check-list and without the indication of personal data (by identification number). An exam is considered to be passed if the student has scored at least 7.0 points out of the12 possible.
Conclusion. Using the format of objective structured clinical exam allows not only assessing the degree of mastery of competencies, but also contributing to increase the interest of students to study and forming clinical thinking.
References
Bulakh, I.Ye., Voitenko, L.P., & Slukhai, T.S. (2018). Naperedodni zaprovadzhennia Yedki. Krok 1. 2018; spetsialnosti “Medytsyna”, “Stomatolohiia”, “Farmatsiia” [On the eve of the introduction of the only state qualification exam Krok 1. 2018; specialty “Medicine”, “Stomatology”, “Pharmacy”]. Medychna osvita – Medical Education, 4, 6-18 [in Ukrainian].
Pylypenko, M.M., Rybinkina, I., & Shlapak, I.P. (2014). Pershyi dosvid vprovadzennia brytanskoho variant ekzamenu za systemoiu OSCE naprykintsi dvorichnoi internatury [The first experience of introducing the British version of the OSCE exam at the end of the two-year internship]. Bil, zneboliuvannia, intensyvna terapiia – Pain, Pain Relief, Intensive Care, 3, 5-14 [in Ukrainian].
Zakon Ukrainy Pro vyshchu osvitu 01.07.2014 r. № 1556-VІІ (redaktsiia stanom na 01.07.2014 r. [Law of Ukraine On Higher Education: of 01.07.2014 No. 1556-VІІ (as amended on July 1, 2014)]. Retrieved from: zakon.rada.gov.ua [in Ukrainian].
Nakaz MOZ 19.02.2019 № 419 Pro zatverdzhennia poriadku, umov ta strokiv rozroblennia i provedennia yedynoho derzhavnoho kvalifikatsiinoho ispytu ta kryteriiv otsiniuvannia rezultativ [The Order of the Ministry of Health of 19.02.2019 No. 419 On Approval of the Procedure, Terms and Time for the Development and Conduct of the Only State Qualification Examination and Evaluation Criteria for Results] [in Ukrainian].
Korda, M.M., Shulhai, A.H., Hudyma, A.A., Zaporozhan, S.Y. (2016). Rozvytok, praktychno-oriientovanoho ta symuliatsiinoho navchannia v Ternopilskomu derzhavnomu medychnomu universyteti imeni I.Ya. Horbachevskoho [Development of practical and simulation training at the Ternopil State Medical University named after I. Horbachevsky]. Medychna osvita – Medical Education, 2, 54-57 [in Ukrainian].
Heal, C., D’Souza, K., Banks, J., Malau-Aduli, B.S., Turner, R., Smith, J., Bray, E., Shires, L., & Wilson, I. (2018). ACCLAIM collaboration. A snapshot of current Objective Structured Clinical Examination (OSCE) practice at Australian medical schools. Med. Teach., 27, 1-7. doi: 10.1080/0142159X.2018.1487547. [Epub ahead of print]. DOI: https://doi.org/10.1080/0142159X.2018.1487547
Alsaid, A.H., Al-Sheikh, M. (2017). Student and faculty perception of objective structured clinical examination: A teaching hospital experience. Saudi J. Med. Sci., 5 (1), 49-55. DOI: https://doi.org/10.4103/1658-631X.194250
Lacy, M., Noronha, L., Leyva, Y., & Pierce, J.R. Jr1. (2019). Comparison of medical student communication skills measured by standardized patients during an OSCE and by faculty during an in-hospital encounter. South Med. J., 112 (2), 70-75. DOI: https://doi.org/10.14423/SMJ.0000000000000932
Nasir, A.A., Yusuf, A.S., Abdur-Rahman, L.O., Babalola, O.M., Adeyeye, A.A., Popoola, A.A., Adeniran, J.O. (2014). Medical students perception of objective structured clinical examination: a feedback for process improvement. J. Surg. Educ., 71 (5), 701-706. DOI: https://doi.org/10.1016/j.jsurg.2014.02.010
Mohsen Tavakol, & Gill Pinner (2018). Enhancing objective structured clinical examinations through visualisation of checklist scores and global rating scale. J. Med. Educ., 9, 132-136. DOI: https://doi.org/10.5116/ijme.5ad4.509b
Karima Khamisa, Samantha Halman, Isabelle Desjardins, Mireille St. Jean, & Debra Pugh Sun Huh (2018). The implementation and evaluation of an e-Learning training module for objective structured clinical examination raters in Canada. J. Educ. Eval. Health Prof., 15, 18. doi: 10.3352/jeehp.2018.15.18. DOI: https://doi.org/10.3352/jeehp.2018.15.18
