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Clinical Assessment: at the heart of healthcare education

Clinical Assessment: at the heart of healthcare education. “ The rules of clinical assessment are the same for whatever Doctor you are producing…. …… clinical assessment has to be:. real, relevant & objective. valid and reliable. …… the world has moved on !!.

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Clinical Assessment: at the heart of healthcare education

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  1. Clinical Assessment: at the heart of healthcare education

  2. “ The rules of clinical assessment are the same for whatever Doctor you are producing…. .

  3. …… clinical assessment has to be: real, relevant & objective . valid and reliable

  4. …… the world has moved on !! .. society has changed …… society expects more from its Doctors …….. we should respond to that need .

  5. …… and since the unexpected can always happen we must make provision for it

  6. …… new advances are just around the corner .

  7. … new problems are constantly emerging

  8. What do we want students to achieve in the clinical assessment of our students ? • Show they have achieved a previously overall defined level of competence • Understand very well the fundamentals of clinical practice and apply their previous learning • Show they can perform to a required and accepted level of competence in real or simulated real practice in specified areas • Adapt their practice to real life situations and normal / expected variations .

  9. Performance assessment in vivo: Masked SPs, Video, Audits….. Does Performance assessment in vitro: OSCE, SP-based test….. Knows how (Clinical) Context based tests: MCQ, EMI, essay type, oral….. Knows Factual tests: MCQ, essay type, oral….. Shows how …. we want to see students climbing the pyramid Does Shows how Knows how . Knows

  10. Most schools have moved away from : Long cases Short cases Oral / viva voce Why: Often irrelevant to real life Specialty specific, not integrated Non-standardised / comparable Highly subjective One opportunity to become a star .

  11. To: OSCE – OSVE, OSPE, ISCE etc Written formative – portfolios, reflective diaries, log books etc Web-based Case-based Workplace-based 360 degree, multi-professional Competency- based .

  12. But, if we use these methods, we must address the issues of: • Standardisation • Objectivity • Validity • Reliability • Real-life situations with complexity • Safety • Multiple biopsy technique .

  13. Clinical Assessment What is the best way ?

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