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Alternative/Innovative method to assess skill

Alternative/Innovative method to assess skill. การอบรมเชิงปฏิบัติการเรื่อง “การสร้างข้อสอบ OSCE ”. วันที่ 2 - 3 ตุลาคม 2546. รศ.พญ.พรรณี ศิริวรรธนาภา ภาควิชาสูติศาสตร์และนรีเวชวิทยา คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่. OSLER. O Objective. S Structured. L Long. E Examination.

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Alternative/Innovative method to assess skill

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  1. Alternative/Innovative method to assess skill การอบรมเชิงปฏิบัติการเรื่อง “การสร้างข้อสอบ OSCE” วันที่ 2 - 3 ตุลาคม 2546 รศ.พญ.พรรณี ศิริวรรธนาภา ภาควิชาสูติศาสตร์และนรีเวชวิทยา คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่

  2. OSLER O Objective S Structured L Long E Examination R Record Prof. Fergus Gleeson Gastroenterologists Ireland

  3. Key features of OSLER 1. Having a forward OSLER checklist 2. Having a firm objective of assessment 3. Assessment setting like the real practice, a continuing process 4. Assess both process of history taking and correct facts established

  4. 7. Scoring system has both grades and marks c criterion Key features of OSLER (cont.) 5. Assessment stress on communication 6. Assessor can consider case difficulty 8. Examiner’s reliability 9. Is practical regards to no need of extra assessment time

  5. Principles of OSLER assessment Assess clinical competence of all aspects as real practice such as • Communication skill • Skill of physical examination • Problem solving ability • Attitude, ethic • Holistic care

  6. OSLER check lists 1. History taking and Presentation 25 • pace and clarity 5 • history taking process 5 • systematic presentation 5 • Correct facts established 10

  7. OSLER check lists (cont.) 2. Physical examination 25 • systematic 5 • corrected technique 5 • attitudes * 5 • correct findings established 10

  8. OSLER check lists (cont.) 3. Investigations 20 • appropriate 10 • logical sequence 10 4. Management 20 • appropriate 10 • holistic* 10

  9. OSLER check lists (cont.) 5. Clinical acumen 10 • problem identification 5 • problem solving ability 5

  10. Marks Grades P+ = very good /excellent 60, 65, 70, 75, 80 P = pass/borderline pass 50, 55 P - = below pass 40, 45 Scoring system

  11. > 7 P - Fail Criterior < 50 Marks OR

  12. Standard - case c 1 problem difficult - case c 2-3 problems Very difficult - case c 3+ problems Case difficulty

  13. Administration of OSLER • 2 examiners • 60 minutes for one case • examination place should be arranged for examiner’s clear observation (listening and seeing) • tables and chairs for history taking

  14. Administration of OSLER (cont.) • basic instruments should be provided • same environment of examination place • Characters of case • not so complicated • well co - operated

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