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Objective Structured Clinical Examination (OSCE)

Eine neue Prüfungsform in der notfallmedizinischen Ausbildung

Objective Structured Clinical Examination (OSCE): a new examination technique in emergency medical education

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Zusammenfassung

Ziel der Studie.

Diese Studie beschreibt die Konzipierung und Implementierung einer neuen Prüfungsform in der notfallmedizinischen Studentenausbildung, die die Anforderungen an eine moderne Prüfung erfüllt.

Methodik.

Am Ende des Kurses „Akute Notfälle und Erste Ärztliche Hilfe“ nahmen 32 Studenten am Probelauf eines Prüfungsparcours im Sinne eines Objective Structured Clinical Examination teil. Der Parcours bestand aus 11 Stationen, davon 7 theoretisch-fallorientierten, die mit offenen Fragen geprüft wurden, und 3 praktischen Stationen. Eine Station diente der Evaluation. Die übrigen Studenten desselben Kurses wurden durch eine Multiple-Choice-Klausur geprüft.

Ergebnisse.

Alle 32 Teilnehmer bestanden die Prüfung. Die OSCE-Prüfung erreichte bei den Studenten eine höhere Akzeptanz als die Multiple-Choice Klausur. Die OSCE-Prüfung gab den Dozenten Feedback über den Lehrerfolg und den Studenten Feedback über ihren individuellen Lernerfolg.

Schlussfolgerung.

Die OSCE-Prüfungsmethode ist gut geeignet, notfallmedizinische Fertigkeiten, Probleme und Fragestellungen zu prüfen, dabei erfüllt sie die Anforderungen an eine akzeptierte und informative Bewertung klinischer Kompetenz.

Abstract

Objective.

This paper reports the plan and implementation of a new assessment technique of undergraduate students in emergency medical education, that complies with the requirements of modern examination.

Methods.

At the end of the course “Acute Emergencies and First Medical Aid” 32 third year students participated in a test-run of an objective structured clinical examination (OSCE). The OSCE contained 11 stations. 7 problem-based stations covered the theoretical knowledge and problem solving strategies, they were tested using open ended questions. Three practical stations tested skills in airway management, chest compression and basic trauma life support. One station was used for evaluation of acceptance.

Results.

All of the 32 students passed the examination. The students judged the OSCE to be more acceptable than multiple choice examination. On the one hand the OSCE gave feedback to the teachers about the success of teaching and on the other hand it gave feedback to each individual student about his personal learning outcome.

Conclusion.

The OSCE format is appropriate to test skills, problems and background of emergency medicine. It complies with the requirements of an accepted and informative examination concept to test clinical competence.

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Danksagung.

Der OSCE-Parcours wurde mit Tutoren und Dozenten der Praktika der Sektion Notfallmedizin der Universitätsklinik für Anästhesiologie an der Universität Ulm geplant und durchgeführt (Günther Jäger, Markus Brucke, Ralph Orthmann).

Wir danken der Studienkommission der medizinischen Fakultät der Universität Ulm für die materielle, ideelle und personelle Unterstützung, insbesondere Frau Monika Kautenburger für ihr Engagement. Besonderer Dank gilt Herrn Dr. Markus Gulich, Abteilung Allgemeinmedizin der Universität Ulm, für seine Unterstützung und seinen Rat bei der Planung, Organisation, Durchführung und Auswertung des OSCE-Parcours.

Diese Arbeit ist Teil einer Dissertation an der medizinischen Fakultät der Universität Ulm.

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Authors and Affiliations

  1. Universitätsklinik für Anästhesiologie, Universitätsklinikum Ulm

    F. O. Weißer,  B. Dirks & M. Georgieff

  2. Sektion Notfallmedizin, Universitätsklinik für Anästhesiologie, Universitätsklinikum, 89070, Ulm

    B. Dirks

Authors
  1. F. O. Weißer
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  2. B. Dirks
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  3. M. Georgieff
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Correspondence to B. Dirks.

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Weißer, F.O., Dirks, B. & Georgieff, M. Objective Structured Clinical Examination (OSCE). Notfall & Rettungsmedizin 7, 237–243 (2004). https://doi.org/10.1007/s10049-004-0659-5

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