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 .

HOWEVER RELIABLE OR OBJECTIVE A TEST MAY BE. 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…. ..

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

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 .6 mins ( 30 sec gap ) CAREFUL WATCH RELEVANT STEPS   RECORDED SCORED   CHECK LIST .PREPLANNED TOTAL TIME – 2 – 3 HOURS .

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

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

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

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 .

MAGER ..F. R.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 ….