OBJECTIVE STRUCTURED CLINICAL EXAMINATION

Presented by
SHIJU VARGHESE PG
 Introduction
• OSCEs were developed in the late '70s & their use has now spread
for both undergraduate & postgraduate exams.
• They are objective as each candidate is presented with the same
test.
• Each test or "station" is structured with a check list and global
judgement
• OSCEs test 4 main areas of competence, History taking,
Explanation, Clinical examination and Procedures (examination
using manikins etc)
• OSCEs are a test of the performance of clinical skills, the candidates
have to demonstrate their skills, not just describe the theory
Definition
 Meaning
• Objective – all candidates are presented with
the same stimuli
• Structured – Specific foundational and
functional competencies are tested at each
station and the marking schema for each
station is structured
• Clinical Examination – Test of performance of
clinical competencies, with an emphasis on
skills and attitudes
Purpose
 Principles

• Skill s to tested is given I form of a specific

question
• To be answered in 4-5 minutes
• Each question is a station
• For each station a check list is prepared in
advance
• Checklist prepared by braking skill to tested in
to its vital components and precaution to be
observed
OSCE marking
 Preparation of OSCE
• Clinical skills and practice
• Steps in sequence
• Timing
Setup in designing OSCE
 STEPS

• Registration
• Orientation
• Escorting to exam position
• Station instruction
• The encounter
• Post encounter
• Repeat step 4-6
• Exam ended and escorting to the encounter area
Registration
Orientation
Escorting to exam position
You will stop by the assigned room door
until a log bell
Station instruction
 Standardized Patients (SP)
• SP ratings is provide a good proxy for
actual patient satisfaction
• SP Communication
• Increases patient satisfaction
• Facilitates doctor-patient relationship
• Increases compliance
• Decreases malpractice claims
• SPs are used to teach
• Foundational competencies
• Interpersonal and communication skills
• Clinical reasoning
• Functional competencies
The encounter
Post encounter
Repeat 4-6
Exam ended and escorting to the encounter area