By Diana Wood Linda Hutchinson
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When pass-fail decisions are being made, a skill based assessment should be “criterion referenced” (that is, trainees should be assessed relative to performance standards rather than to each other or to a reference group). An Angoff approach is commonly used to set the standard for an OSCE. Skill based assessments do not replace knowledge based tests, but they do assess aspects of competence that knowledge based tests cannot assess. Although the use of OSCEs for skill based assessment is increasingly widespread, modifying more traditional formats may be appropriate when they are combined with other forms of assessment or are used to screen trainees.
Administering an OSCE twice in one day only slightly increases the fixed costs, although the examiners’ time is an important cost Stem John Smith, aged 37, arrived in the emergency department complaining of acute abdominal pain that began 16 hours previously. In the next eight minutes, conduct a relevant physical examination Checklist Examiner to fill in box for each item that trainee successfully completes ❑ ❑ ❑ ❑ ❑ ❑ ❑ Drapes patient appropriately Inspects abdomen Auscultates abdomen Percusses abdomen Lightly palpates each quadrant Deeply palpates each quadrant Checks for peritoneal irritation Etc Marks 2 1 1 1 2 2 2 Training information History of pain The pain started 16 hours ago, etc Symptoms The pain is in the right lower quadrant, at "at least 9", and is constant.
X Habeshaw T, Habeshaw S, Gibbs G. 53 interesting things to do in your seminars and tutorials. Bristol: Technical and Educational Services, 1992. x Jaques D. Learning in groups. 3rd ed. London: Kogan Page, 2000. x Tiberius R. Small group teaching: a trouble-shooting guide. London: Kogan Page, 1999. 21 7 One to one teaching and feedback Jill Gordon “My method (is) to lead my students by hand to the practice of medicine, taking them every day to see patients in the public hospital, that they may hear the patients’ symptoms and see their physical findings.
ABC of Learning and Teaching Medicine by Diana Wood Linda Hutchinson