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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

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“The OSCE code”

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  1. “The OSCE code” Objective Structured Clinical Examination

  2. 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

  3. Patient assessment An intervention A Thought Process e.g. Diagnostic reasoning Approach to a clinical setting E.g. interpretation of an X-ray What can be assessed?

  4. OSCEs are based on practice notnecessarily how the complete job is done A discrete aspect of a learning outcome Full simulated of a “real” situation e.g.Taking a blood pressure e.g A full ALS resuscitation

  5. Considerations 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…..) Planning

  6. 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 ?

  7. Key words from Learning outcomes criteria etc Outside experts Mind map National criteria Developing the assessment Trial run Best practice. What do others do ? Data Subjective Objective Personal experience

  8. The Briefing The performance of the skill by the candidate Closure Session closure for the team On the day… Don’t forget PPPPP and a review afterwards…

  9. We’ve Come A Long Way! School of Education, Health & Sciences

  10. Getting Started • 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

  11. The Development Process • 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

  12. Efficiencies • Cost effective • Time efficiency • Reduction in staff stress ( once it’s ready!) • Results analysis & statistics School of Education, Health & Sciences

  13. Students’ Perceptions • ‘Enjoyable!’ • High quality • Maintained interest throughout exam • Noisy exam room • Resricted revisiting of answered questions School of Education, Health & Sciences

  14. Students’ Perceptions • ‘Enjoyable!’ • High quality • Maintained interest throughout exam • Noisy exam room • Resricted revisiting of answered questions School of Education, Health & Sciences

  15. CIAD Support • Design & question styles • Formatting • Running of assessment • Data analysis & evaluation School of Education, Health & Sciences

  16. Future Strategies • Formative assessment • Use of technology within the clinical skills facility to enhance the resources • E-learning module School of Education, Health & Sciences

  17. 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. Simulated Training and Assessment

  18. 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 Unlike most men!

  19. 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. Assessment & Training

  20. 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. Components

  21. There is also SIM Baby & Sim Child (6yrs old) Correct anatomical differences. Haven’t produced Sim Adolescent as NO ONE WOULD TURN IT ON! ADDITIONALLY

  22. Any questions?

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