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By the name of most. merciful and almighty Allah. Students in KMU. Students in KMU. Cafeteria. Microbiology Dept. Lab. KMU. Maiwand Teaching Hospital. Skill Assessment of 4 th Year students in KMU. Prepared by:. Prof. A.Hanan Baray Member of Internal Medicine Dept.
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By the name of most merciful and almighty Allah
Skill Assessment of 4th Year students in KMU Prepared by: Prof. A.Hanan Baray Member of Internal Medicine Dept. Assist. Prof. Nasiri Head of Paediatric Dentistry Dept. Assist. Prof. Hamdard member of Dermatology Dept.
Current situation of assessment in KMU • We have two types of examination: • Written • Practical • Written exam is given by the following types of questions: • MCQs : 20 questions, each question has 2.5 marks {total score is 50 marks} • SAQs: 10 questions, each question has 3 marks {total 30 marks}
Cont… • Practical exam is given from the students about the history taking and physical examination in presence of patient immeasurably, because there is no any standard check list. {total marks are 15} • 5 marks are given for daily evaluation and attendance of the students.
Aims of Assessment • Comparing with standard • Providing feedback • Information for decision making • Motivating learners • Accreditation to educators and society
Formative and Summative Assessment • Formative assessment To identify where and how to improve during curriculum. • Summative assessment To make decision {pass or fail} at the end of curriculum.
Level of Clinical Competence and Assessment System- Miller pyramid Portfolio Does Shows How OSCE Knows How CRQ Knows MCQ
Goal • Implementation of OSCE for the standardized assessment of the students to obtain direct assessment of skills and attitude and indirect assessment of knowledge.
So! What is an OSCE? • OSCE or Objective Structured Clinical Examination is a practical exam to assess clinical skills such as medical interview, physical examination, surgical skills and so on.
Advantage of an OSCE • We can assess clinical skills. • We can design according to the purpose, not by chance. • The assessment can be objective or standardized using check list and manuals. • High efficiency of education with feedback to the students. • It will also be used by certification exam.
Objectives • Assuring that an individual meets predetermined minimal qualifications. • Identifying individuals who have achieved a level required for promotion of the student to next level or who need to repeat the programme. • Allowing students to monitor their own learning . • Assessing all aspects of the students {knowledge , skills and attitude}.
Strategy • Specification of 40% marks to practical assessment. • Implementation of OSCE consisting of the following key points: • One examiner and one time keeper for each station. • Establishment of four following stations: - Medical Interview - Skin examination - Chest examination - Abdominal examination • Check list : { 80 items each has 0.5 points totally 40 points or marks}
Implementation Area • Ali Abad Teaching Hospital for the first time. • Afterward by improvement it will be implemented in Maiwand teaching hospital. • Finally we will try to start implementation of OSCE in other provincial university hospitals.
Time of implementation • Last five days of the semester is specified for 10 groups, each day two groups will attend the exam.
An example of OSCE10 minutes/station • Students - Visit each station by rotation. - Perform skills within time limits. • Examiner or Rater - Assess the skills with check list. Skin examination Medical Interview Abdominal Examination Chest examination
Target Group • 80 students of 4th year , first semester divided into 10 groups of 8 students in each group.
Challenges • Station rooms • Simulate patients • Low experiences
Suggestions • Periodically refreshment courses for familiarization of KMU lecturers with OSCE. • Preparation of OSCE guidelines. • Training of simulated patients.
Thanks for Your attention Arigato Gozaimashita
