OSCE in Sudanese Medical Schools: The ideal & the practical

1. OSCE in Sudanese Medical Schools:The ideal & the practical

2. My talk How did it all start The discussions that followed Efforts to spread the culture & train Implementation Recommendations

3. The beginning The meeting in Shendi Recommendations Move towards a unified approach Assessment of knowledge & skills Delegation of EDC Khartoum to train

4. The progress Enthusiasts & advocates of change in the medical education community The Debate The Efforts

5. The debate What exactly do we want to assess? Is what we are currently doing sufficient The global trends & recommendations Can we follow the trends & apply the recommendations? If for any reason we can’t, what can we do?

6. Some conclusions We need to change Consult international experts Process should be gradual Spreading the culture & training Implementation if possible Continue the debate

7. Problems Not all medical schools have detailed written curricula Even if there are written curricula, there is no weighting of how much knowledge & how much skills No clear determination of what is more important than what Therefore alignment & blueprinting to ensure content validity & improve reliability are difficult Efforts should first be exerted to improve curricula

8. Problems Staff are unaware of the various objective tools of assessment of clinical competence We need to become more educated & informed Then help others to become more educated & informed

9. Problems We studied the original publications in the issue Mini-CLEX DOCEE IDOCEE OSLER OSCE PACES

10. The efforts Spreading the culture Training Implementation

11. Spreading the cultureOvercoming resistance The question Lack of relevant information Lack of will to let go Lack of will to change Lack of time The cash factor

12. Training Training courses & workshops in conferences Training courses & workshops by invited experts Training courses & workshops by local experts

13. Workshops by international experts In the first & second medical education conferences Part of training the trainers workshop by the IDEAL consortium

14. Workshops by local experts National Ribat university Ahfad University for women University of science & Technology Shendi University Al-Imam Al-Mahdi – Kosti University of Khartoum

15. Implementation National Ribat university Omdurman Islamic University University of science & Technology Shendi University Al-Zaáeem Al-Azhari University University Medical Sciences & Technology University of Khartoum (decision made)

16. Implementation - postgraduate Surgery Ophthalmology Anaesthsia Obs & Gynae Neurosugery (will be introduced) Medicine (will be introduced) SMC Licensing exam (will be introduced)

17. Some observations Different approaches Different expertise Different scoring sheets Little collaboration Similar problems (e.g. examiners’ training) Students adapted quickly & liked it (no H&H)

18. Recommendations Curricula reviewed based on local & international recommendations Discussions and training should continue Collaboration at all levels is essential

19. Recommendations Combine OSCE, OSPE & Spotter types Use a mixture of patients, SPs, simulators, test results (imaging, ECG, EEG, Lab etc) Schools & faculty collaborate to standardize Use checklists for undergraduate & generic rating scale for postgraduate Work on patients & SPs banks Work together to produce station banks Share resources (simulators & SPs) Collaborate on training efforts