Objective structured clinical examination

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The Objective Structured Clinical Examination (OSCE) is an examination format in medical studies that is intended to examine the clinical competence of medical students. This exam format consists of a course of different stations at which practical skills such as taking an anamnesis or various methods of physical examination are tested. The test principle was first introduced in 1975.

Goal setting

In contrast to the multiple choice questions that are otherwise common in medical studies, the OSCE exam format is intended to make it possible to test clinical competence rather than factual knowledge. This is required in the amendment to the Medical Licensing Regulations of October 2003. Another important point is the goal of making the test as objective as possible through standardization , i.e. the result independent of the tester and the sequence of test items and stations.

procedure

An OSCE course consists of several stations that contain different tasks. There is a time limit at each station. Possible requirements are, for example, as already mentioned, the structured anamnesis or certain steps of the physical examination, stations are also possible at which computer-aided further skills such as X-ray image evaluation or auscultation of the heart and lungs are checked. Videos and simulation dolls are also used. The implementation is often based on "standardized patients" in order to avoid changes in the behavior of real patients as far as possible and to maintain objectivity.

The evaluation is carried out on the basis of checklists , which are checked either by the standardized patients or by external auditors.

Individual evidence

  1. a b c d Chenot, J.-F .; Ehrhardt, M .: Objective structured clinical examination (OSCE) in medical education: an alternative to the exam In: 'ZEITSCHRIFT FUR ALLGEMEINMEDIZIN', 2003, 79th year, no. 9, pp. 437–442  ( page no longer available , Search in web archivesInfo: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice.@1@ 2Template: Toter Link / www.online-zfa.de  
  2. a b Schrauth, Markus u. a .: Practical exams are feasible In: 'GMS Z Med Ausbild', 2005, 22nd year, no. 2, pp. 2005–22