OSCE Objective Structured Clinical Examination For Fourth Class

OSCE Objective Structured Clinical Examination　 For Fourth Class Students In Internal Medicine Department By: Mohammad Maroof “Aram” MD, Associated Professor of Medicine, Aliabad Teaching Hospital , Kabul Medical University, March 2007

KMU

Background n n 1. 2. Practical work period 20 days for each group in Internal Medicine Ward Current assessment tools for clinical learning are as follows: Written exam Oral exam include physical examination

3. Written and oral exam 4. unorganized exam by each teacher OSCE is new and proved method for clinical skill assessment

Objectives n Standardized assessment of: n n n Medical interview Physical examination Record writing and other procedures

Methods n n n Starting time: April 2007 at the end of each practical period for internal medicine Number of students: 15 4 th-class students Number of examiners: two examiners include one timekeeper Number of stations: 2 stations Prepare rating sheet

n n n Time: 20 minutes Station 1: Medical interview, Chest and vital sign Station 2: Abdomen, Head and neck

Scheduling of OSCE Schedule Station 1 Station 2 9: 00 -9: 10 A 1 B 1 10: 36 -10: 46 A 5 B 5 9: 12 -9: 22 B 1 A 1 9: 24 -9: 34 A 2 B 2 9: 36 -9: 46 B 2 A 2 9: 48 -9: 58 A 3 B 3 10: 00 -10: 10 B 3 A 3 10: 12 -10: 22 A 4 B 4 10: 24 -10: 34 B 4 A 4

Challenges n Resources 1. 2. n Standardized patients Rooms for stations Low experiences

Suggestions n n n Establishment of OSCE committee Establishment of OSCE stations Preparation of OSCE guideline

Thank You For Your Attention Arigatu Gozaimasu