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““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
School of Education, Health & Sciences
The Development Process
Cost effectiveTime efficiency Reduction in staff stress ( once it’s ready!) Results analysis & statistics
School of Education, Health & Sciences
Efficiencies
‘Enjoyable!’ High quality Maintained interest throughout exam Noisy exam room Resricted revisiting of answered questions
School of Education, Health & Sciences
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?
