Zagazig University

Faculty of nursing

Second term (2023)

(OSCE) and (OSPE) Examination

Under Supervision

Prof. Dr. Eman Shokry Abdulah

Prepared by:

Ghada Mohamed Ali

Outlines:
introduction.1

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defintion of OSCE.2
types of OSCE.3
advantage and disadvantage of OSCE.4
How to design a good OSCE.5
defination of OSPE.6
differentiation between OSCE and OSPE.7

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 Introduction:
Objective Structured Clinical Examination (OSCE) and Objective
Structured Practical Examination (OSPE) are two commonly used
assessment methods in various fields. These methods are designed to
evaluate specific skills and abilities in a standardized and controlled
environment. In this lecture, we will discuss the similarities and
differences between OSCE and OSPE and provide examples of how these
methods are used in various fields.

Structured Practical Examinations

Definition
Is a series of station in an examination room to examine students at each
station student may be asked to carry out procedure which may involve
taking history performing clinical tasks and diagnosis patient problems to
assess wide range of skills .knowledge. Attitude
Types of stations
1-practically_based .student is given a written instruction and has to
carry out a procedure
2-question _based .student has to answer question on their findings at the
previous station and interpret these findings as (open ended –multiple-
choice
Structured Practical Examinations
This type of examination is also known as a multiple station assessment
test (MSAT).

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 The Objective Structured Clinical Examination (OSCE) is one of the
most well-known forms of the structured practical examination.
Advantage of objective structured clinical examination
1-generate feedback on performance for both the learners and the
teaching program
2-every student does the same examination
3- Osco stations are reusable
4-more student can be examined at any one time
5-it can objectivity assess other important aspects of clinical expertise
such as (physical examination -interpersonal skills)
Disadvantage of OSCE
1-time consuming
2-costly
3-experiance to administer
4-if student not familiar with Osco must be oriented to this assessment
format
How to design a good Objective Structured Clinical
Examination
1-Decide the types of skills to be examined
2-Decide the types of assessment (such as a uniform checklist)
3-Consider the number of skill assessment stations needed (it is
recommended to have 10 to 15 stations, and six minutes for each station)
because the length of the examination is determined by the number of
assessment stations and the time each candidate will
spend at each station. 4-Allocate resources for the examination (such as
space for examination rooms, marking sheets and plastic models)

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5- Prepare the staff resources needed (including examiners, timekeepers
and patient/volunteers)
6- Determine/arrange the day/period of exam
7-Conduct a review/evaluation of the arrangement of the exam after it is
over
8-To design concise marking schemes that focus on actions that distinguish
between
good and poor performance-
9-to provide marking scheme instructions on what students would do at
each station for the examiners
10-To provide instructions which outline exactly the task required at each
station for students

How is the Osco done?

1-Registration
 Show your examination invitation card and identification
 Be remind the exam rules
 Be checked for things that allowed and not allowed

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  Received your exam envelope which contains (ID. sticker. apencil.
notebook)
2-Orientation
 Exam format. Procedures and policies will be reviewed
 Instructed about your starting station and how to proceed
3- Escorting To Exam Position
 Now it is exam time
 You will be escorted to your station you will stop by the assigned
room door until along bell announces the start of the exam
4-Station Instruction Time
 this is one or two minutes to read the instruction about this station
situation .patient and required tasks at the next bell buzzer enter the
room
5- The Encounter
Start your encounter with the student skill. This is a5-20minute
encounter .perform the required tasks stop at the next bell buzzer
6-Post Encounter Period
Next is a question period
Some will have one or two minutes of the encounter period assigned to
an oral question asked by the examiner inside the exam room
7- Repeat Steps 4 to 6 will repeated until you have been in all the station

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Scoring Osco
 Each station should be scoring alone
 Decide how many points will be allotted for each part of each
station
 Decide if each station will be pass or fail
 Add up of the scored all station to provide the overall scoring for
the exam

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 Objective Structured Practical Examination
(OSPE):
Objective Structured Practical Examination (OSPE) is another
widely used method for assessing practical skills in various fields,
including science, engineering, and technical education. OSPEs typically
consist of several timed stations or tasks, each of which assesses a specific
aspect of practical skills such as laboratory techniques, technical skills,
clinical procedures, and simulation-based scenarios.
OSPEs are usually conducted in a laboratory or clinical setting,
where candidates are evaluated by trained assessors who use a
standardized scoring system. The scoring system for OSPEs assigns points
for each item on a checklist, and the candidate's score is based on the
number of items completed correctly.
For example, in a station that assesses laboratory techniques, a
candidate may be required to perform a specific task, such as preparing a
microscope slide, using appropriate equipment, materials, and procedures.
The assessor would then use a checklist to score the candidate's
performance on each of these items and provide feedback on areas that
need improvement.
OSPEs can also be used to assess non-technical skills, such as
communication, teamwork, and professionalism, by including scenarios
that require the candidate to demonstrate these skills. For example, in a
station that assesses communication skills, a candidate may be required to
interact with a simulated patient while using appropriate language, tone,
and empathy.

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Similarities and Differences:

Finally, both OSCE and OSPE use a standardized scoring system to

evaluate candidates, but the weighting of different components may vary.
OSCEs may assign more weight to communication and clinical reasoning
skills, while OSPEs may assign more weight to technical skills and
procedural competence.