Techniques for measuring clinical competence: objective structured clinical examinations.

Abstract:

:The traditional clinical examination has been shown to have serious limitations in terms of its validity and reliability. The OSCE provides some answers to these limitations and has become very popular. Many variants on the original OSCE format now exist and much research has been done on various aspects of their use. Issues to be addressed relate to organization matters and to the quality of the assessment. This paper focuses particularly on the latter with respect to ways of ensuring content validity and achieving acceptable levels of reliability. A particular concern has been the demonstrable need for long examinations if high levels of reliability are to be achieved. Strategies for reducing the practical difficulties this raises are discussed. Standard setting methods for use with OSCEs are described.

journal_name

Med Educ

journal_title

Medical education

authors

Newble D

doi

10.1111/j.1365-2923.2004.01755.x

keywords:

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

199-203

issue

2

eissn

0308-0110

issn

1365-2923

pii

1755

journal_volume

38

pub_type

杂志文章
  • In search of educational efficiency: 30 years of Medical Education's top-cited articles.

    abstract:CONTEXT:Academic journals represent shared spaces wherein the significance of thematic areas, methodologies and paradigms are debated and shaped through collective engagement. By studying journals in their historical and cultural contexts, the academic community can gain insight into the ways in which authors and audie...

    journal_title:Medical education

    pub_type: 历史文章,杂志文章,评审

    doi:10.1111/medu.13349

    authors: Rangel JC,Cartmill C,Martimianakis MA,Kuper A,Whitehead CR

    更新日期:2017-09-01 00:00:00

  • The value of student-made models as learning aids in physiology.

    abstract::In a new educational scheme introduced in Malta in 1978, university students spend half of the academic year studying and the other half as workers in various departments. During their work phase, students designed and made working models as teaching aids for the study of physiology. The value of these models was asse...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1984.tb01277.x

    authors: Abu-Sitta SA,Shalaby MA,Hajek J

    更新日期:1984-09-01 00:00:00

  • Assessing the emotional impact of cadaver dissection on medical students.

    abstract:AIM:The study's first aim was to assess the emotional impact of cadaver dissection on first year medical students using the newly developed Appraisal of Life Events Scale (ALE). Its secondary aim was to evaluate the validity of the ALE by comparing it with the Impact of Events Scale (IOE). SETTING:Division of Biomedic...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2002.01235.x

    authors: O'Carroll RE,Whiten S,Jackson D,Sinclair DW

    更新日期:2002-06-01 00:00:00

  • Medical electives in sub-Saharan Africa: a host perspective.

    abstract:CONTEXT:Electives are part of most Western medical school curricula. It is estimated that each year 3000-4000 undergraduate medical students from the UK alone undertake an elective in a developing country. The impact of these electives has given some cause for concern, but the views of elective hosts are largely missin...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12727

    authors: Kumwenda B,Dowell J,Daniels K,Merrylees N

    更新日期:2015-06-01 00:00:00

  • Teaching basic science: Dr Fox in the physiology chicken coop.

    abstract::In a variation of the Dr Fox study, an educational specialist delivered a lecture in the first-year course on physiology. A highly expressive teaching style was used for content which was determined by physiology teachers. The aim was to determine whether students would note a difference. According to student evaluati...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1988.tb00773.x

    authors: Whitman N,Burgess PR

    更新日期:1988-09-01 00:00:00

  • Students' moral reasoning, Machiavellianism and socially desirable responding: implications for teaching ethics and research integrity.

    abstract:OBJECTIVE:To investigate the relationship between psychological constructs related to professional and research integrity and moral reasoning among medical students. METHODS:Medical students, 2nd-year (n = 208, 85.6% of 243 enrolled students), answered the moral reasoning test-defining issues test 2 (DIT2) and the Mac...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2006.02391.x

    authors: Hren D,Vujaklija A,Ivanisević R,Knezević J,Marusić M,Marusić A

    更新日期:2006-03-01 00:00:00

  • The attitudes of medical students towards homeless people: does medical school make a difference?

    abstract:BACKGROUND:Homeless people have greater health care needs than those who are housed, yet often experience difficulty in accessing health care. Evidence suggests that the attitudes of doctors can create significant barriers to health care for homeless people. METHODS:A validated structured questionnaire, the Attitudes ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2003.01625.x

    authors: Masson N,Lester H

    更新日期:2003-10-01 00:00:00

  • Test-enhanced learning and its effect on comprehension and diagnostic accuracy.

    abstract:CONTEXT:In health professions education, tests have traditionally been used to assess the skills and knowledge of learners. More recently, research in psychology and education has shown that tests can also be used to enhance student memory; a phenomenon called the 'testing effect'. Much of the research in this domain h...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12302

    authors: Baghdady M,Carnahan H,Lam EW,Woods NN

    更新日期:2014-02-01 00:00:00

  • Useful to whom? Evaluation utilisation theory and boundaries for programme evaluation scope.

    abstract:CONTEXT:Programme evaluation is perpetually mandated in health professions education. Correspondingly, there has been an expansion in prescriptive methodological guides about 'how' to engage in various best practices in evaluation. However, what has gained less attention is an examination of the 'value' that different ...

    journal_title:Medical education

    pub_type: 杂志文章,评审

    doi:10.1111/medu.14281

    authors: Onyura B

    更新日期:2020-12-01 00:00:00

  • The structure of medical education.

    abstract::The recurrent failure to adequately conceptualize the medical meaning of 'diease' is explained as a function of the way this is taught in the curriculum. It is not transmitted within the formal curriculum but within the internal structural relationships of the medical course. The limits of this particular definition e...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1977.tb00603.x

    authors: Armstrong D

    更新日期:1977-07-01 00:00:00

  • Portfolio-based learning: continuing medical education for general practitioners--a mid-point evaluation.

    abstract::In October 1994 a project was initiated by the General Practice Continuing Medical Education Tutors in the Department of General Practice at Sheffield University. The project sought to evaluate the efficiency (effort expended) and effectiveness (distance travelled) of a model of continuing professional development for...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1997.tb00038.x

    authors: Challis M,Mathers NJ,Howe AC,Field NJ

    更新日期:1997-01-01 00:00:00

  • Students conducting consultations in general practice and the acceptability to patients.

    abstract:OBJECTIVES:The General Medical Council has recommended that medical students should gain more experience in general practice. The study set out to determine patients' reactions to consultations conducted by a medical student alone prior to seeing their GP. DESIGN:A random sample of patients attending general practice ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.1999.00410.x

    authors: Bentham J,Burke J,Clark J,Svoboda C,Vallance G,Yeow M

    更新日期:1999-09-01 00:00:00

  • Predictive validity of the multiple mini-interview for selecting medical trainees.

    abstract:INTRODUCTION:In this paper we report on further tests of the validity of the multiple mini-interview (MMI) selection process, comparing MMI scores with those achieved on a national high-stakes clinical skills examination. We also continue to explore the stability of candidate performance and the extent to which so-call...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2009.03407.x

    authors: Eva KW,Reiter HI,Trinh K,Wasi P,Rosenfeld J,Norman GR

    更新日期:2009-08-01 00:00:00

  • Reliability and efficiency of components of clinical competence assessed with five performance-based examinations using standardized patients.

    abstract::The present study was conducted to provide in-depth information on the reliabilities of measures of the separate components of clinical competence (e.g. data collection, test interpretation, diagnosis, etc.) assessed by a performance-based examination consisting of standardized-patient cases administered to five class...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1991.tb00071.x

    authors: Colliver JA,Vu NV,Markwell SJ,Verhulst SJ

    更新日期:1991-07-01 00:00:00

  • Diagnostic ability in relation to clinical seminars and extended-matching questions examinations.

    abstract:CONTEXT:At the Katholieke Universiteit Leuven, Belgium, final year medical students participate in 70 problem-solving clinical seminars over a period of 2 months, concentrating on clinical reasoning for formulating differential diagnoses. The clinical seminars end in an examination consisting of 200 extended-matching q...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2006.02627.x

    authors: Beullens J,Struyf E,Van Damme B

    更新日期:2006-12-01 00:00:00

  • Paediatric candidates' attitudes to computerized patient management problems in a certifying examination.

    abstract::In September 1974 candidates who had taken a computerized patient managment problem examination (CPMP), as part of the certification process in paediatrics required by the Royal College of Physicians and Surgeons of Canada, completed a questionnaire designed to elicit their reactions to CPMPs. The results indicated th...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1976.tb01494.x

    authors: Fincham SM,Grace M,Taylor WC,Skakun EN,Davis FC

    更新日期:1976-09-01 00:00:00

  • Orthopaedic undergraduate education.

    abstract::Musculoskeletal disease in the community is common, and much of it responds to early diagnosis and preventive care. At the same time, modern orthopaedics, like so many specialist subjects, has increased significantly in depth and detail pari passu with its advances. It therefore becomes all the more important in desig...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1979.tb00914.x

    authors: Dickson RA,Houghton GR,Duthie RB

    更新日期:1979-01-01 00:00:00

  • Changing education, changing assessment, changing research?

    abstract:BACKGROUND:In medical education, assessment of medical competence and performance, important changes have taken place in the last 5 decades. These changes have affected the basic concepts in all 3 domains. DEVELOPMENTS IN EDUCATION AND ASSESSMENT:In education constructivism has provided a completely new view on how st...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2004.01851.x

    authors: Schuwirth LW,van der Vleuten CP

    更新日期:2004-08-01 00:00:00

  • Continuity of supervision: Does it mean what we think it means?

    abstract:CONTEXT:Continuity of supervision (CoS) is generally accepted as an important element of competency-based medical education (CBME). However, collecting and interpreting evidence for its effectiveness are a challenge because we lack a shared understanding of CoS. Translating the available evidence about CoS into practic...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.14378

    authors: Lee AS,Ross S

    更新日期:2020-09-14 00:00:00

  • Towards evidence-based practice in medical training: making evaluations more meaningful.

    abstract:CONTEXT:The evaluation of training is problematic and the evidence base inconclusive. This situation may arise for 2 main reasons: training is not understood as a complex intervention and, related to this, the evaluation methods applied are often overly simplistic. METHOD:This paper makes the case for construing train...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2004.02021.x

    authors: Drescher U,Warren F,Norton K

    更新日期:2004-12-01 00:00:00

  • Defining the content for the objective structured clinical examination component of the professional and linguistic assessments board examination: development of a blueprint.

    abstract:INTRODUCTION:We describe the steps taken to develop an appropriate list of 'clinical problems' used to define the content of the objective structured clinical examination (OSCE) component of the Professional and Linguistic Assessments Board (PLAB) examination. METHOD:A blueprint and list of 255 clinical problems was c...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2000.00553.x

    authors: Tombleson P,Fox RA,Dacre JA

    更新日期:2000-07-01 00:00:00

  • Developing medical student competence in lifelong learning: the contract learning approach.

    abstract::How contract learning may be used in the introduction to clinical medicine is described, with the goal to develop and enhance self-directed learning skills and attitudes of first- and second-year medical students. Essential tasks associated with successful self-directed learning are cited, and the contract method is d...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1983.tb01458.x

    authors: Fox RD,West RF

    更新日期:1983-07-01 00:00:00

  • Training the ideal hospital doctor: the specialist registrars' perspective.

    abstract:BACKGROUND:When training for junior doctors is being planned, little discussion is focused on what outcomes hospitals are trying to achieve with regard to education/training, i.e. on what makes the ideal hospital doctor. Instead, the primary focus is on the requirements of the syllabi of the Royal Colleges (credentiali...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:

    authors: Khera N,Stroobant J,Primhak RA,Gupta R,Davies H

    更新日期:2001-10-01 00:00:00

  • A study of a multi-source feedback system for international medical graduates holding defined licences.

    abstract:OBJECTIVE:To develop and assess the feasibility and psychometric properties of multi-source feedback questionnaires to monitor international medical graduates practising in Canada under 'defined' licences. METHOD:Four questionnaires (patient, co-worker, colleague and self) were developed and administered in 2 phases t...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2006.02410.x

    authors: Lockyer J,Blackmore D,Fidler H,Crutcher R,Salte B,Shaw K,Ward B,Wolfish N

    更新日期:2006-04-01 00:00:00

  • Medical teachers' concerns about the clinical teaching context.

    abstract:INTRODUCTION:Despite several unique aspects of the medical teacher's role compared to other teachers in higher education, there has been little research in this area. In particular there have been few studies which have explored teachers' perspectives on their role. This study aimed to elicit teachers' perceptions of t...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2003.01437.x

    authors: Seabrook MA

    更新日期:2003-03-01 00:00:00

  • Techniques used by "expert" and "non-expert" tutors to facilitate problem-based learning tutorials in an undergraduate medical curriculum.

    abstract:BACKGROUND:There is inconclusive debate within the literature as to whether the best problem-based learning (PBL) tutors are subject experts or not. The debate hinges on whether knowledgeable tutors are tempted to intervene too often in PBL discussions compared to non-expert tutors, and whether the latter may not be ab...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2003.01406.x

    authors: Gilkison A

    更新日期:2003-01-01 00:00:00

  • Comparison of UMAT scores and GPA in prediction of performance in medical school: a national study.

    abstract:CONTEXT:Medical schools continue to seek robust ways to select students with the greatest aptitude for medical education, training and practice. Tests of general cognition are used in combination with markers of prior academic achievement and other tools, although their predictive validity is unknown. This study compar...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2011.04078.x

    authors: Poole P,Shulruf B,Rudland J,Wilkinson T

    更新日期:2012-02-01 00:00:00

  • Grades in formative workplace-based assessment: a study of what works for whom and why.

    abstract:CONTEXT:Grades are commonly used in formative workplace-based assessment (WBA) in medical education and training, but may draw attention away from feedback about the task. A dilemma arises because the self-regulatory focus of a trainee must include self-awareness relative to agreed standards, which implies grading. OB...

    journal_title:Medical education

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/medu.12659

    authors: Lefroy J,Hawarden A,Gay SP,McKinley RK,Cleland J

    更新日期:2015-03-01 00:00:00

  • Using simulated patients to develop doctors' skills in facilitating behaviour change: addressing childhood obesity.

    abstract:OBJECTIVES:This study aimed to describe the application, feasibility and outcomes of using simulated patients (SPs) to increase the skills of general practitioners (GPs) delivering a behavioural intervention to reduce childhood overweight and mild obesity. METHODS:Five female actors were trained as SPs. A total of 67 ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2010.03686.x

    authors: Gerner B,Sanci L,Cahill H,Ukoumunne OC,Gold L,Rogers L,McCallum Z,Wake M

    更新日期:2010-07-01 00:00:00

  • Clinical tutor evaluation: a 5-year study by students on an in-patient service and residents in an ambulatory care clinic.

    abstract::Medical students on an in-patient service and residents working in an ambulatory care clinic have regularly evaluated their clinical tutors over the 5 years 1985-1989. Both groups of raters reliably and predictably evaluated their tutors and both emphasize between-tutor comparisons more than actual rating values for i...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1993.tb00228.x

    authors: McLeod PJ,James CA,Abrahamowicz M

    更新日期:1993-01-01 00:00:00