Está en la página 1de 23

Dr. A. K. AGARWAL DIR. PROFESSOR DEPARTMENT OF ENT & Ex DEAN MAULANA AZAD MEDICAL COLLEGE NEW DELHI.

IF YOU ARE NOT CERTAIN OF WHERE YOU ARE GOING YOU MAY VERY WELL END UP SOMEWHER E ELSE

THE EDUCATIONAL SPIRAL Defining Tasks and Educational Objectives Implementing Evaluation Preparing and Implementing an Educational Programme Planning An Evaluation System .

IT IS OF NO VALUE IF IT DOES NOT MEASURE ABILITY TO PERFORM THE TASKS EXPECTED OF A HEALTH WORKER IN HIS / HER PROFESSIONAL CAPACITY….HOWEVER RELIABLE OR OBJECTIVE A TEST MAY BE.. .

F. . . R.WE DON’T CARE HOW HARD THE STUDENT TRIED. MAGER . . UNTIL HE CAN PERFORM HE MUST NOT BE CERTIFIED AS BEING ABLE TO PERFORM . WE DON’T CARE HOW CLOSE HE GOT . .

WHAT WE KNOW .

WHAT WE DO .

HOW WE DO IT .

OBJECTIVE STRUCTURED CLINICAL EXAMINATION [ OSCE ] .

OBJECTIVE  Impartial  Uninfluenced by External factors  Unprejudiced  Detached .

PRINCIPLE OF OSCE      OSCE STATIONS – 20 TO 30 PROCEDURE QUESTIONS TIME : 5 .PREPLANNED TOTAL TIME – 2 – 3 HOURS .6 mins ( 30 sec gap ) CAREFUL WATCH RELEVANT STEPS   RECORDED SCORED   CHECK LIST .

CRITERIA FOR THE PROCEDURE Is Is Is it valid ? it reliable ? it practical ? .

•COMPETENCE IN HISTORY TAKING  Interaction with patient Rapport with the patient  Empathy with the patient   Skill in interviewing Pacing of questions  Pattern of questions  Response to answers  .

•COMPETENCE IN PHYSICAL EXAMINATION  Examination of a limited area Done in allocated time • INSPECTION INTERPRETATION OF PATIENT’S CHARTS OR LABORATORY INVESTIGATIONS • .

OTHER ASPECTS OF COMPETENCE        Patient’s education Interpersonal skills Surgical or Clinical Instruments Examination of specimens Aspects of physical Examination on plastic models Practical procedures Examination of the fundi .

Station 2: History response Station 1: History taking Station 4 : Station 5: Examn. Based on X-ray Station7: Specimen &questions Station 9: Station : Instrument Problem based based Ques. Station 10: VIVA . Ques.OSCE Overview Station 3: Clinical exam. X –Rays Responses Station 6: Qs.

.

I. STAGE OF STUDENT  Final Examination assessment  In-course  Post Graduate examinations .

PURPOSE OF ASSESSMENT Pass / Fail decision the area of deficiency feedback to the student Identify Provide Select students with particular skills .II.

ORGANIZATION OF OSCE • Advance Planning – At Least 6 Mnths on the day before the • Organization examination • The day of the examination • After the examination .

ADVANTAGES OF OSCE  More valid examination  More reliable  Large number of students Utilize junior examiners Appropriate feedback   .

DISADVANTAGES OF OSCE  Limited  Demanding testing of skill for examiner &patients .

R..MAGER .F.IT IS A HIGHLY QUESTIONABLE PRACTICE TO LABEL SOMEONE AS HAVING ACHIEVED A GOAL WHEN YOU DON’T EVEN KNOW WHAT YOU WOULD TAKE AS EVIDENCE OF ACHIEVEMENT ….