Objective structured clinical exams: A critical review

Family Medicine

Volumn 40, Issue 8, 2008, Pages 574-578

  Turner, John L ^a,b   Dankoski, Mary E ^a  

^a INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b INDIANA UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CERTIFICATION; CLINICAL EXAMINATION; CURRICULUM; DECISION MAKING; FEASIBILITY STUDY; GRADUATE STUDENT; LICENSING; MEDICAL EDUCATION; MEDICAL STUDENT; ORGANIZATION; RELIABILITY; REVIEW; RISK BENEFIT ANALYSIS; SCORING SYSTEM; UNITED STATES; VALIDITY;

CLINICAL COMPETENCE; EDUCATION, MEDICAL, GRADUATE; EDUCATIONAL MEASUREMENT; HUMANS; LICENSURE, MEDICAL; PATIENT SIMULATION;

EID: 51349152053     PISSN: 07423225     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (39)

1. Howley L. Performance assessment in medical education: where we've been and where we're going. Eval Health Prof 2004;27(3):285-303.
2. Epstein R. Assessment in medical education. N Engl J Med 2007;356(4):387-96.
3. Miller G. The assessment of clinical skills/competence/performance. Acad Med 1990;65:S63-S67.
4. Bloom B. Taxonomy of educational objectives. In: Handbook I: the cognitive domain. New York: David McKay Co Inc, 1956.
5. Harden R, Stevenson M, Downie WW, Wilson GM. Clinical competence in using objective structured examination. Br Med J 1975;1:447-51.
6. van der Vleuten CPM, Swanson DB. Assessment of clinical skills with standardized patients: state of the art. Teach Learn Med 1990;2(2):58-76.
7. Dreyfus H, Dreyfus S. Mind over machine. New York: Free Press, 1986.
8. Barzansky B, Etzel SI. Educational programs in US medical schools, 2003-2004. JAMA 2004;292(9):1025-31.
9. Norman G. Inverting the pyramid. Adv Health Sci Educ 2005;10:85-8.
10. Barman A. Critiques on the objective structured clinical examination. Ann Acad Med Singapore 2005;34(8):478-82.
11. Buckendahl CW, Plake BS. Evaluating tests. In: Downing SM, ed. Handbook of test development. Mahwah, NJ: Lawrence Erlbaum Associates, 2006:725-38.
12. Gledhill RF, Capatos D. Factors affecting the reliability of an objective structured clinical exaination (OSCE) in neurology. S Afr Med J 1985;67:463-7.
13. Rutala PJ, Witzke DB, Leko EO, Fulginiti JV, Taylor PJ. Student fatigue as a variable affecting perrformance in an objective standardized clinical examination. Acad Med 1990;65:S53-S54.
14. Tamblyn RM, Klass DJ, Schnabl GK, Kopelow ML. Sources of unreliability and bias in standardized patient rating. Teach Learn Med 1991;3:74-85.
15. Swanson DB, Norcini JJ. Factors influencing reliability of tests using standardized patients. Teach Learn Med 1989;1:158-66.
16. Reznick RK, Blackmore D, Cohen R, et al.An objective structured clinical examination for the licentiate of the Medical Council of Canada: from research to reality. Acad Med 1993;68(suppl):S4-S6.
17. Petrusa ER, Blackwell TA, Ainsworth MA. Performance of internal medicine house officers on a short station OSCE. In: Hart I, ed. Further developments in assessing clinical competence. Montreal: Can-Heal, 1987:598-608.
18. Dawson-Saunders B, Verhulst S, Marcy M, Steward D. Variability in standardized patients and its effect on student performance. In: Hart I, ed. Further developments in assessing clinical competence. Montreal: Can-Heal, 1987:451-8.
19. Boulet JR, McKinley DW, Whelan GP, Hambleton RK. Quality assurance methods for performance-based assessments. Adv Health Sci Educ 2003;8:27-47.
20. Schuwirth L, van der Vleuten C. The use of clinical simulations in assessment. Med Educ 2003;37(suppl):65-71.
21. Nayer M. An overview of the objective structured clinical examination. Physiother Can 1993;45(3):171-8.
22. Sloan DA, Donnelly MB, Schwartz RW, Strodel WE. The objective structured clinical examination. The new gold standard for evaluating postgraduate clinical performance. Ann Surg 1995;222(6):735-42.
23. Bergus GR, Kreiter CD. The reliability of summative judgements based on objective structured clinical examination cases distributed across the clinical year. Med Educ 2007;41(7):661-6.
24. Harden RM, Gleeson FA. Assessment of clinical competence using an objective structured clinical examination (OSCE). Med Educ 1979;13:41-54.
25. Newble DI, Noare J, Elmslie RG. Validity and relaibility of a new examination of the clinical competence of medical students. Med Educ 1981;15:46-52.
26. Brown R, Roberts J, Rankin J, Stevens B, Tompins C, Patton D. Further developments in assessing clinical competence. In: Hart IR, Walton HJ, eds. Further developments in assessing clinical competence. Montreal: Canadian Health Publications, 1987:563-71.
27. Ram P, van der Vleuten C, Rethans JJ, Schouten B, Homba S, Grol R. Assessment in general practice: the predictive value of written knowledge tests and a multiple-station examination for actual medical performance in daily practice. Med Educ 1999;33:197-203.
28. Auewarakul C, Downing SM, Jaturatamrong U, Praditsuwan R. Sources of validity evidence for an internal medicine student evaluation system: an evaluative study of assessment methods. Med Educ 2005;39:276-83.
29. Mazor KM, Ockene JK, Rogers HJ, Carlin MM, Quirk ME. The relationship between checklist scores on a communication OSCE and analogue patients' perceptions of communication. Adv Health Sci Educ 2005;10(1):37-51.
30. Regehr G, MacRae H, Reznick RK, Szalay D. Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination. Acad Med 1998;73(9):993-7.
31. Hodges B, McIlroy JH. Analytic global OSCE ratings are sensitive to level of training. Med Educ 2003;37(11):1012-6.
32. Iramaneerat C, Yudkowsky R. Rater errors in a clinical skills assessment of medical students. Eval Health Prof 2007;30(3):266-83.
33. Stillman PL, Swanson DB, Smee S, et al. Assessing clinical skills of residents with standardized patients. Ann Intern Med 1986;105:762-71.
34. Petrusa ER, Blackwell TA, Rogers LP, Saydjari C, Parcel S, Guckian JC. An objective measure of clinical performance. Am J Med 1987;83:34-42.
35. Grand'Mason P, Lescop J, Rainsberry P, Brailovsky CA. Large-scale use of an objective structured clinical examination for licensing family physicians. CMAJ 1992;146:1735-40.
36. Duerson MC, Romrell LJ, Stevens CB. Impacting faculty teaching and student performance: nine years' experience with the objective structured clinical examination. Teach Learn Med 2000;12(4):176-82.
37. Ozuah PO, Curtis J, Dinkevich E. Physical examination skills of US and international medical graduates. JAMA 2001;268(9):1021.
38. Newble D, Jeager K. The effect of assessment and examinations on the learning of medical students. Med Educ 1983;17:165-71.
39. Barrows HS. An overview of the uses of standardized patients for teaching and evaluating clinical skills. Acad Med 1993;68(6):443-53.