“The OSCE code” Objective Structured Clinical Examination

““The OSCE code”The OSCE code”

Objective Structured Clinical Examination

Objective Structured Clinical Examination

“An Assessment tool designed to measure a performance against a learning outcome”

Pros

Representative of “real life”

Individual performance can be observed

Transparent process

Good team building

Cons

Labour and resource intensive

Time consuming

Can be challenging / demanding / tiring for staff

What can be assessed? Patient assessment An intervention A Thought Process e.g. Diagnostic

reasoning Approach to a clinical setting E.g. interpretation of an X-ray

Full simulated of a “real” situation

OSCEs are based on practice notnecessarily how the complete job is done

OSCEs are based on practice notnecessarily how the complete job is done

A discrete aspect of a learning outcome

e.g.Taking a blood pressure e.g A full ALS resuscitation

PlanningConsiderations What is being assessed (Criteria) Timetable/venue (Add a bit on!) Resources (Kit, actors or patients) Staff (Academic/support) Documentation (Instructions) Internal moderation (Observed/recorded) External moderation (Observed/recorded) Refreshments (Everyone!) PPPPP… (What ifs…..)

If CARLING wrote learning outcomes they would look like this!

“Competently assess, examine, diagnose, treat, refer or discharge, the adult patient with selected conditions or presentations including those with minor injuries, minor ailments, those in pain and those with mental health needs in a variety of emergency/ unscheduled care environments.”

How do we translate this to an OSCE ?

Developing the assessment

Key words from Learning outcomes criteria etc

Mind map

Personal experience

Trial run

Outside experts

Best practice.

What do others do ?

National criteria

Data

Subjective

Objective

On the day…

The Briefing The performance of the skill by the

candidate Closure Session closure for the team

The Briefing The performance of the skill by the

candidate Closure Session closure for the team

Don’t forget PPPPP and a review afterwards…

School of Education, Health & Sciences

We’ve Come A Long Way!

Suitability of subject/module to computerised assessment

Learning outcomes of the assessment Paper based ideas of question types Advice & direction from CIAD

School of Education, Health & Sciences

Getting Started

Logging of assessment with CIAD ~ September

Development of materials for use in assessment

Materials available 1 month prior to running of the assessment

Assessment prepared Assessment ‘hammered’ Assessment signed off and made active

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The Development Process

Cost effectiveTime efficiency Reduction in staff stress ( once it’s ready!) Results analysis & statistics

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Efficiencies

‘Enjoyable!’ High quality Maintained interest throughout exam Noisy exam room Resricted revisiting of answered questions

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Students’ Perceptions

‘Enjoyable!’ High quality Maintained interest throughout exam Noisy exam room Resricted revisiting of answered questions

School of Education, Health & Sciences

Students’ Perceptions

Design & question styles Formatting Running of assessment Data analysis & evaluation

School of Education, Health & Sciences

CIAD Support

Formative assessment

Use of technology within the clinical skills facility to enhance the resources E-learning module

School of Education, Health & Sciences

Future Strategies

Simulated Training and Assessment

• Sim Man is a full body,adult manikin that allows the simulation of Basic and Advanced Life Support Skills and Assessment to develop both individual and team skills.

Unlike most men!

• Durable, Rugged and lifelike;made to withstand years of use.

• Interactive and gives immediate feedback to interventions.

• Can be programmed with verbal responses. Ta me Duck

Assessment & Training

• ALS/ILS training & Assessment

• Individual procedures• Auscultation: Cardiac,

Respiratory & Abdominal

• Verification of death

• Separate defibrilator and ECG monitor

• Tension Pneumothoraces can be simulated and needle decompression performed.

Components

• Oral/nasal pharyngeal airways

• Bag/valve mask devices

• Can be ventilated

• Right arm is a Multi-venous IV arm allowing: Cannulation,Phlebotomy,Drug administration&Infusion. veins are self sealing allowing multiple uses.

• Left Arm Take B/P. Physiologically correct palpable pulses:carotid, femoral,radial and brachial.

• Contains bilateral thigh, gluteal pads for IM and Subcut inj.

• Changed for optional trauma or nursing wound modules.

ADDITIONALLY

• There is also SIM Baby & Sim Child (6yrs old)

• Correct anatomical differences.

• Haven’t produced Sim Adolescent as

NO ONE WOULD TURN IT ON!

Any questions?