OSCE

OSCE/OSPE
objective structured clinical examination

Mrs.Sadhana.
Msc Nursing I Year
CMI college of nursing
Dehradun
 OJECTIVES
 At the end of the class students will be able to:-
 Introduce OSCE.
 Define OSCE.
 List down the purpose of OSCE
 .Discuss about history of OSCE.
 Explain about the assessment by OSCE.
 Describe Miller’s pyramid.
 Explain the steps in designing and implementing an OSCE/OSPE.
 Discuss in detail about development of case/scenario.Define the examinees & the examiners.
 Describe about the examinations station,types and duration.
 Describe the movement in the stations.Explain about the observer assessment methods.
 Discuss about the advantages of OSCE.
 Explain the disadvantages of OSCE.
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INDRODUCTION

OSCE :
objective : Examiners use a checklist for evaluating the trainees

Structured: Trainee sees the same problem and perform the same tasks in the same time frame

Clinical: The task are representative of those faced in real clinical situation

Examination:

OSPE : Objective Structured PRACTICAL Examination

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INDRODUCTION
OSCE : objective structured CLINICAL examination.

A multi dimensional practical examination of clinical skills , as a tool for assessing clinical
competence.

An OSCE is a modern type of examination often used in the health sciences (e.g. medicine, nursing,
pharmacy, dentistry) to test clinical skill performance and competence in skills such as
communication, clinical examination, medical procedures, prescription-writing, manipulation
techniques, and interpretation of results.

OSPE : Objective Structured PRACTICAL Examination

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DEFINITION

 OSCE is an approach to the assessment of clinical competence in which the

components of the competence are assessed in a
planned or structured way,
with attention being paid to the objectivity of the examination
(Harden, 1988).
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Why OSCE ?
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PURPOSES OF OSCE

According to Boursicot, Ware, and

Hazllet (2011),
the purposes of OSCE are to

Measure clinical skills – Match assessment to intended constructs

Promote structured interaction between student and examiner

Make structured marking scheme possible

Present all candidates with the same test – Promote objectivity

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Miller's Pyramid for Assessing clinical competence 
INDRODUCTION

 Millers pyramid of Assessment

 provides framework for assessing
clinical competence
 in medical education and
 can assist clinical competencies
 with expectation of
 what the learner should be able to do
 at any stage.
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STEPS.

Station 
• What is a station?
• Station organization
• Types of station
• Number of stations
• Timing in one station
 1
station

6
2
station station

nn

3
5
station
station
4
station
Instructions

 Steps: Practice Session • Brief the students/ evaluators. •

Distribute sheet containing OSPE to - Students: Roll no, Time, Max. score - Evaluators: Check
list, Max. score, Roll no • No. of evaluators per station = 2. • No. of students per station = 1. •
Move in one direction (ring of bell)
 Instructions for students • Display Roll no prominently. • Number of stations = n •
Proceed in one direction • Time allotted = ‘t’ min (each station) • Start & end of time (ring
of bell) • Clear instructions given at each station • No interaction with examiners • No
negative marking
TIPS FOR ORGANIZING AN OSCE/OSPE 

 TIPS FOR ORGANIZING AN OSCE/OSPE Assessment. Duration of station.

Number of stations. Use of examiners. Range of approaches. New stations.
Organization of examination. Resource requirement.
Plan of examination and directions. Change signal. Records.
 REQUIREMENT FOR CONDUCTING OSCE/OSPE: Standardized Patient(SP):-
Standardized patients are individuals trained to portray a patient with a particular disease
or condition; thus affording hands on testing of students. Use of standardized patients
increase reliability across different stations.
 Station and required Procedure articles:- Number of stations are determined by number
of students and number of activities for which examiners want to evaluate students.
Arrange necessary articles in advance and prepare different stations
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TYPES OF STATION
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