Sr. Contributory Time Subject matter No. objectives 1.

To establish 1min rapport with the group

Teaching /learning activity

A.V.Aids Method of evaluation

Self

Introduction: Myself, Anupreet Kaur, student of m.sc (nursing) 1st year. Today I am going to present my teaching on the topic of OSCE and OSPE. Assessment of Teacher ask question from previous knowledge: Do you student
know anything about OSCP and OSPE. Teacher gives LCD introduction about the OSCE with the help of LCD What do you mean by OSCE.

2.

To assess the 1min previous knowledge of the group. To introduce 2min the topic to the group.

3.

Introduction: OSCE
means objective structured clinical examination. It is a form of multi-station examination for clinical subject first described by Harden et al in 1975.It was firstly adopted in north America. The widely adopted in the UK. The principal method for

What OSCE

is

clinical assessment in all developed countries is now the OSCE.

Meaning of OSCE:
*Objective: Because examiners use a checklist for evaluating trainers. *Structured: Because every trainee sees the same problem and performs the same task in same time frame. *Clinical: Because the tasks are representative of those faced in real clinical situations. *Examination: Because the skills are assessed in the form of examination. Definition: The OSCE or objective structured clinical examination is an approach to the assessment of clinical competence are assessed in a planned or structured way with attention being paid to

4. OSCE.

Define 1min

Teacher LCD define the term OSCE with the help of LCD.

What do you mean by OSCE

the objectivity of the examination. Harden 1988. Or The OSCE is a form of performance based testing used to measure candidates clinical competence. During an OSCE candidates are observed and evaluated as they go through a series of stations in which interview, examine and treat standardized patients who present with some medical problems. 5. Discuss features OSCE. the 2min of Teacher leaflet discuss the 1. Stations are short. of 2. Stations are features OSCE with numerous. the help of 3. Stations are highly leaflet. focused. 4 Pre-structured mark schemes are used. 5. Reduced examiner input.

Features:

What is the feature of OSCE.

* Emphasis on 1. What candidates can do rather than what they know? 2. The application of knowledge rather than recall of knowledge. *Typically 1. Examination hall is a hospital ward. 2. Atmosphere is active and busy. 3. Observer assessed using check-list. 4. Mix of stations types. 6. Discuss the 2min methodology of OSCE.

OSCE methodology
OSCE examination consist of about 15-20 stations each of which requires about 4-5 minute of time. All stations should be capable of being completed in the same time. The students are rotated through all stations and moved to

Teacher LCD describes the methodology of OSCE with the help of LCD.

What is the methodology of OSCE.

7.

Explain the 5min procedure of OSCE.

next station at the signal in which each candidate is examined on a one to one basis with one or two impartial examiners or each station has a different examiner or candidates would be assigned to an examiner for the entire examination. Marking them by the examiner on standardise mark sheet. Using 15 stations of 4 minute each, 15 students can complete examination within 1 hour Procedure of OSCE: although OSCE are performed in many settings in regard to the exam purpose, available facility? On exam day you will go through following steps: 1. Registration

Teacher charts explain the procedure of OSCE with the help of charts

How OSCE is done.

The first step is registration. In this you will go through following process: Show your exam invitation card or identity card Be reminded about exam rules Be checked for things which are allowed and which are not allowed Receive your exam envelop which contains your ID, stickers, pencil, notebook or clipboard. 2. Orientation The next step after registration is orientation Exam format, procedures and policies will be reviewed

Introduce to your team and team leader. Instructed about your starting station and how to proceed. Your question will be answered.

3. Escorting to exam position Now it is exam time, you will be escorting to your station, you will be stopped by the assigned room door until long bell or buzzer announce the start of exam. 4. Station Instruction time This is one or two minute to read the instruction about this station, situation, patient and required task. Read carefully and at the next

bell, enter the room. 5. The encounter Start your encounter with the standardise patient. There is 5-20 min encounter. Perform the required task. Stop at the next bell. 6. Post period encounter

There are some differences over here. Some OSCE will have no post encounter period. Some will have 1-2 min of the encounter period assigned to an oral question asked by the examiner inside the examination room. No more communication is allowed with the patient, and then written questions to be answered on a paper or computer outside the

exam room for 5-10 min. At the next bell, first station ends as well as next station starts. You proceed to next station quickly. 7. Repeat step 4 to 6 Step 4-6 will be repeated until you have been in all the stations. Some OSCE will offer 1 or 2 short rest period. 8. Exam ended Exam is over. You will be escorted back to dismissal area for signing out. You will be asked to handle back all what you have received on signing in; you may be asked to stay for some time for exam security reason.

8.

Describes the 2min things done during OSCE.

LCD Points to be done Teacher describes the during OSCE 1. Do only what is requested. 2. No talking during the OSCE. 3. Explain to patient what you do before doing it. 4. If you are not sure what is wrong do not say. 5. Take psychosocial, occupational, past medical & surgical history, medication as appropriate. things to be done during OSCE with the help of LCD

What points to be kept in mind during OSCE.

Explain the 2min advantages of OSCE.

Advantages OSCE

explain the advantage of with 1. It ensures integration OSCE the help of of teaching and LCD evaluation. 2. Variety maintains student interest. 3. There is increased faculty-student interaction.

of Teacher

LCD

What are the advantages of OSCE.

OSCE adaptable to local needs. 4. A large number of students can be tested within a relatively short period. 10. Explain the 2min disadvantages of OSCE LCD explain the Disadvantages 1. Risk of observer of OSCE with fatigue if the observer the help of has to record the LCD performance of several candidates on lengthy checklist. 2. Equal time required for all. 3. Costly and labour intensive. Teacher LCD Tips for OSCE explain the 1.Assessment: Produce for a grid summarizing. tips organizing What is to be tested with duringOSCE.Down the OSCE the help of left hand side list the competencies such as LCD history taking, physical

Disadvantages OSCE

of Teacher

What are the disadvantages of OSCE.

11.

Explain the 5min tips for organizing OSCE

What are the tips for organizing OSCE

exam, patient education etc? 2. Duration of stations: Once the duration has been fixed make sure that the task expected of the student can be accomplished with time. 3. No of stations: Within the time constraints include in the examination as many stations as possible as there is good evidence that the reliability of the examination. 4. Use of examiners: Make sure that examiners are fully briefed prior to the examination, both for examination in general and particular with regard to the station to which they are assigned. Provide them with a list of resources that will be available at there stations. 5.

7. Range of approaches: When planning an OSCE for first time, talk with no of individual from different settings who have previously made use of this technique. If possible visit and watch their examinations. 6. New stations: New station should be tested with one or more student before use in examination. 7organizations of the examinations.There should be co-ordinator appointed in advance of the examination that has the responsibility for taking overall charge of the advance planning of exam and its implementation on that day. 8.Resourc requirements: It is helpful to produce a checklist of the

resources required for each station in exam..Or 9.Plan examination and directions: After the exam is set up and the directions in place for student that they can find there way easily from one station to the next. Use of tape on the floor for direction can also be used. 10.Change signal: Before examination, check that the audible signal can be hared clearly at all locations on the examination. 11. Records: Keep an OSCE file into which all resources required such as station numbers, direction arrows, master sheet of instruction to students, checklists, rating scales and so on.

12

Give introduction about OSPE

2 Min

Teacher LCD introduces the (Objective structured topic with the practical examinations) Introduction: The term help of LCD OSPE is derived from OSCE in 1975 which was later extended to practical examination and was later extended to practical exam and modified by Harden and Gleeson. It is well known that conventional practical examination has several problems especially in terms of its outcome. On the basis of such defect observe in the conventional practical exam several attempts have been made. These attempts were largely related to the adoption of appropriate measures for bringing the practical exam towards objectivity so that they become valid and

OSPE

What OSPE.

is

reliable. Out of the various method adopted the OSPE was largely tested on the basis on success of OSCE. 13 Define OSPE term 2 min

Definition: OSPE is Teacher

LCD

an assessment tool in define OSPE which the competency with the help of a student is evaluated. of LCD 1. For general experiment: in terms of identification of equipment, accessories for experiment, procedure of experiments, handling of instruments etc. 2. For clinical examination: in terms of history taking, physical examination,

What do you mean by OSPE

simple procedures etc. 14 Enlist feature OSPE the 2 of min

Features of OSPE :
1.

2.

3.

Teacher LCD the Separate explain feature of assessme with nt of OSPE the help of process LCD and product through observati on of performa nce of and assessme nt of and result. Adequate sampling of skills and content to tested. An analytica l approach

What are the feature of OSPE

to the assessme nt. 4.objectivity 5. Feedback to teacher and student. 15 Describes the 2 methodology min of OSPE LCD Methodology of Teacher describes the OSPE: During this exam student pass through a number of station. OSPE exam ideally consist of 15 20 stations for exam of a particular course. No of station may be reduced according to higher no of student to be evaluated. but in order to maintain the validity of exam, the time for each stations should not be less than four minutes. All the station should be completed in the same period of time. Students are rotated through all the station methodology of OSPE with the help of LCD What is the methodology of OSPE

and move to the next station at the ring of the bell. Thus 15 stations of four minutes duration each, 15 students can complete the exam with in one hour. Each station is design to test experimental competences. At some stations called the procedures station students are given task to perform on subjects. At all station there are observer with agreed checklist to mark the student performance. At other station called response station student write answer of objective type question or record their findings of the pervious procedure station.

16

Explain the 5 min procedure and response station of OSPE

Teacher LCD explain the procedure and response station of 1. procedure station : OSPE with Objective: to examine the help of the blood pressure of a LCD subject. Check list : 1. Explain to subject what he is going to do. 2. Applies the pressure cuff correctly. 3. Ask the subject to sit comfortably. 4. Keep the bell of stethoscope correctly on capital fosse. 5. Deflates the pressure from the cuff properly. 6. Take care to repute to the procedure to

Explanation of procedure and response station by example.

What do you mean by procedure and response station.

insure correct reading of systolic and diastolic pressure. 7. Thanks subject at the end of recording. 8. Reset the instrument and closes it down properly. 2. Response station: Questions: 1. Write the name of instruments you have used at the first station. 2. Write the specific name of the sound that you heard in the stethoscope. 3. What was the posture of your subject during measure of blood pressure? 4. Which of the arm used preferably for measure of blood pressure.

5. The instrument used for blood pressure was aneroid or manometer type. 6. What was the systolic and diasystolic pressure of subjects in your experiments? 7. What was the unit of measurement? 8. Calculate and mention the average blood pressure of subjects. 9. Write down the name of arteries which was occluded during the measurements of blood pressure. 10. What is your conclusion about result you have obtained, subjects is normal or abnormal. 3. Procedure station: Objective: To observe and identify a prepared slide under microscope.

Check-list: 1. Places the slides correctly at the stages of microscope. 2. Adjust the binocular eyepiece to his eyes for viewing the objects. 3. Focus the slide first in low magnification. 4. Uses oil immersion at high magnification. 5. Uses both the course and fine adjustment to focus the object given in the slide. 4. response station 1. Write the name of tissues that you have identified from

2.

3.

4.

5.

the slide placed under microscope. Write the magnification which you have used it see the tissues under the microscope. Write the mane of oil you have used to observe the tissues under microscope. Write the name of part of microscope on which the slide was placed. Write down the type of cells that you have observed from the section of tissues under microscope.

At the end of exam a separate questionnaire may

be design for student and teacher both to get the feedback for the assessment of process and to get information for future improvement in OSPE. 17 Explain the 2min advantages of OSPE

Advantages OSPE :
1. 2.

3. 4.

describes the advantages of with It is useful for OSPE the help of any subject. It can also LCD examine both the clinical and experimental skills. Checklists are used for marking and evaluation. Student take more interest due to verity and keep themselves alert during the

of Teacher

LCD

What are the advantages of OSPE

whole process. 5. Exam is modified easily as per institutional circumstances. 6. Large no of students can be tested with in the short time. 18 Explain the 2min disadvantages of OSPE

Disadvantages OSPE :

describes the 1. If proper disadvantages of OSPE with planning, briefing to the the help of LCD student, preparation of procedure of response stations are not done properly then the whole process of OSPE may become failed. 2. Separate observer for each station is required.

of Teacher

LCD

What are disadvantages of OSPE

3. Costly method. 19 Summarize the topic 2min Teacher Chalk board Today I discuss the summarize the topic with following topic: 1.Introduction of OSCE. the help of chalk board. 2.Define OSCE. 3.Features of OSCE. 4.Methodology of OSCE. 5.Procedure of OSCE. 6.Points to be done during OSCE. 7. Advantages of OSCE. 8. Disadvantages of OSCE. 9.Tips for OSCE. 10.Define OSPE. 11.Features of OSPE. 12.Methodology of OSPE. 13.Procedure and response station of OSPE. 14. Advantages of OSPE. 15.Disadvantages of OSPE.

Summarization:

20.

Recaptulize the topic

3 min

Teacher 1.What do you mean by recaptulize the topic by OSCE. 2. What are features of asking question. OSCE. 3. What are the procedure of OSCE. 4. What are the advantages of OSCE. 5. What are the disadvantages of OSCE. 6.What are the tips for organizing OSCE. 7. Define OSPE. 8. What are the feature of OSPE. 9. What is procedure and response station. 10. What are the advantages of OSPE. 11.What are the disadvantages of OSPE.

Recaptulization:

21

Bibliography: 1.www.oscehome.com
2.www.wikipedia.com 3.www.ospe.com 4.www.oucom 5.journal nursing image.

Seminar On
OSCE and OSPE
Presented to Miss Tarun madam Presented on- 1 jan-2011 Presented by Anupreet kaur M.Sc(n) 1st year

PHASE PAGE

Name Subject Topic Venue Class Teaching method A.V.Aids used Duration

: Anupreet kaur : Nursing education :Objective structured clinical examination and practical examination : M.Sc(N) 1st year (class room) :M.Sc(N) 1st year :Lecture cum discussion :Chalk board,chart,handout,leaflet.LCD : 1 hour

GENERAL OBJECTIVE: The group will be able to explain about objective structured clinical examination and practical examination. SPECIFIC OBJECTIVE: At the end of teaching the group will be able to: 1. Define OSCE 2. Discuss the feature of OSCE 3. Discuss the methodology of OSCE 4. Explain the procedure of OSCE 5. Describes Things to be done during OSCE 6. Explain the advantages of OSCE 7. Explain the disadvantages of OSCE 8. Explain the tips for organizing the OSCE 9. Define OSPE 10. Enlist the feature of OSPE 11. Describes the methodology of OSPE 12. Explain procedure and response station of OSPE 13. Explain the advantages of OSPE 14. Explain the disadvantages of OSPE