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OSCE. Background about OSCE Definition of OSCE Harden ’ s12 tips for organizing OSCE Advantages. Disadvantages Examples of OSCE Station profile Reflections Summary. Abbasid era in Baghdad in 931 AD Caliph Al-Muqtadir, ordered his chief physician to examine all healers Licensing Boards

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Presentation Transcript
Background about OSCE

Definition of OSCE

Harden’s12 tips for organizing OSCE



Examples of OSCE

Station profile



Abbasid era in Baghdad in 931 AD
  • Caliph Al-Muqtadir, ordered his chief physicianto examine all healers
  • Licensing Boards
  • The chief physician
  • License for practicing
what is osce
What is OSCE?

The candidates rotate through a series of stations at which they are asked to carry out a (usually clinical) task

background about osce
Background about OSCE
  • Started in 1972 Dundee, Scotland by R. Harden and F.Glesson
  • First literature about OSCE 1975, BMJ
  • Used in undergraduate as well as postgraduate
  • Formative & summative
  • Used in many disciplines
modification of osce

OSLER:objective structured long examination record

OSPE: objective structured practical examination

OSVE: objective structured video examination

OSTE: objective structured teaching evaluation

OSPRE: objective structured performance-related examination

OSSE: objective structured selection exam.

characteristics of the osce
Characteristics of the OSCE
  • It is an assessment approach primarily used to measure clinical competence
  • Should be planned or structured (predetermined clinical competences)
  • Examination format or framework
  • Different types of test method can be incorporated into it
characteristics of the osce cont
Characteristics of the OSCE (Cont.)
  • In most stations students are observed (by one or more examiners)
  • Scored as they carry out the task or interpret clinical materials (e.g.laboratory data, X-rays), write notes or answer question
harden s 12 tips for organizing an osce
What is to be assessed?

Duration of station

Number of stations

Use of examiners

Range of approaches

New stations

Harden’s 12 Tips for Organizing an OSCE
harden s 12 tips for organizing an osce cont
Harden’s 12 Tips for Organizing an OSCE (Cont.)
  • Organization of the examination
  • Assigning priority
  • Resource requirements
  • Plan of the examination
  • Change signal
  • Records
advantages of the osce
Advantages of the OSCE
  • Valid examination
  • The examiners can control the complexities of the examination
  • Used as summative as well formative
  • Can be used with larger number of students
  • Reproducible
advantages of the osce cont
Advantages of the OSCE (cont)
  • The variable of the examiner and the patient are to a large extent removed
  • Fun activity within the department or college, which promotes team work
disadvantages of the osce
Disadvantages of the OSCE
  • Knowledge and skills are tested in compartments
  • The OSCE may be demanding for both examiners and patients
  • More time in setting it up
  • Shortage of examiners
  • Might be quite distressing to the student
a student from newcastle uk
A student from Newcastle, UK

New meanings for OSCE:

  • Obligatory sweepingly crushing experience
  • Obnoxiously stupefying celebration of the evil
  • A collection of “ overwhelmingly significant clinical errors”
ospe in pharmacology nepal
OSPE in Pharmacology (Nepal)

(I): Spotter section: A student identifies a drug among the choices displayed for a particular condition and then answers one or two questions related to the drug.

(II): communication skills: A student communicates with and prescribes a drug for a simulated patient.

station profile
Station Profile

A) Instruction to students:.

Mr.Mohammed is a 22-year-old working in Thumrith base, presented to our clinic with headaches, generalized loss of interest in life, poor social performance, chest discomfort. .

station profile cont
Station Profile (cont)

A) Instruction to students:(cont)

  • You have 8 minutes to assess the affective state of this patient, by taking the proper and relevant history
  • An observer, using a checklist, will assess your performance while you interact with the patient
station profile cont1
Station Profile (cont)

B) Briefing to the Observer:

  • The student is required to assess the affective state of Mr. Salim, by taking the proper and relevant history.
  • Observe your students using the following checklist, without any probing or interference from you.
station profile cont2
Station Profile (cont)

C) Briefing to the patient:

  • Don not give more information than asked for.
  • Try to answer the questions as clearly as possible.
  • Try to be consistent with all the students as the interview you.
Student greeted the patient

Introduced her/himself

Asked the patient’s name

Mood state

Duration of mood disturbance

Interest & enjoyment of life

Diurnal swings of mood

Recent change in sleep pattern

Change in appetite

Suicidal thoughts/& or attempts


•Using the whistle

•Tuning the video!

•Shortage of patients

•Staff as SP’s

•Preparing the equipment

•Choosing the number of stations

key points
Key Points

Staff development

Dynamic process



Videos & simulators



feedback from students positive
Feedback from Students (positive)
  • To assess our performance in action
  • To detect our weaknesses
  • To assess our abilities in solving clinical problems
  • To assess our clinical skills, skills in communication and approaching patients
feedback from students positive1
Feedback from Students (positive)
  • The student is made to organize his/her thoughts
  • Increases self confidence
  • Fair to all students
  • Clinically oriented
  • To train the students because OSCE is an international examination
feedback from students negative
Feedback from Students (negative)
  • Might be exhausting for the real patient
  • It’s humiliating to patients
  • Needs extra preparation time
  • burden on the student
  • Only 10 stations!!!
  • No need for the presence of an observer
  • Some stations require more time than the others
When used correctly, the OSCE can be highly successful as an instrument to assess competence in medicine

Ronald Harden