Summary
A structured oral examination was introduced into a traditional OSCE with a view to improving the competencies traditionally assessed by this format. Ten 24 minute stations were used to assess 72 final year medical students in an Internal Medicine exit examination. The station components were; Part I: 12 minute assessment of history, physical examination and interpersonal skills, assessed by standardized patient using a checklist and by a physician using global ratings. Part II: 6 minute oral presentation of relevant findings, differential diagnosis and management plan assessed by the physician. Part III: 6 minute structured oral examination (SOE) conducted by the physician examiner based on a list of predetermined questions related to the case. Students were assessed over 6 consecutive days. Overall, reliability was satisfactory, the least reliable component of the OSCE was the student oral presentation. Part III SOE reliability was higher than has been previously reported for this format. An interesting side benefit was the increased level of examiner satisfaction with this enhanced format.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Harden RM, Gleeson FA. Assessment of Clinical Competence Using an Objective Structured Clinical Examination (OSCE). Med Educ 1979;13:41–45.
Stillman PL, Swanson DB, Smee S, Stillman AE, Ebert TH, Emmel VS, et al. Assessing Clinical Competence Skills of Residents with Standardized Patients. Ann Intern Med 1986;105:762–771.
Cohen R, Rothman AI, Ross J, Domovitch E, Jamieson C, Jewett M, et al. A Comprehensive Assessment of Graduates of Foreign Medical Schools. Ann R Coll Phys Surg Can 1988;21:505–509.
Elstein AS. Beyond multiple choice questions and essays: The need for a new way to assess clinical competence. Acad Med 1993;15:244–249.
Stillman PL, Rugill JS, Rutala PJ, Sabers DL. Patient instructors as teachers and evaluators. J Med Educ 1980;55:186–193.
Norman GR, Neufeld VR, Walsh A, Woodward CA, McConvey GA. Measuring physicians performance by using standardized patients. J Med Educ 1980;60:925–934.
Van der Vleuten CPM, Swanson DB. Assessment of clinical skills with standardized patients: State of the art. Teach Learn Med 1990;2:58–76.
Stillman PL, Swanson D, Regan MB, Philbon MM, Nelson V, Ebert T, et al. Assessment of clinical skills of residents utilizing standard patients. A follow-up study and recommendations for application. Ann Intern Med 1991;114:393–401.
Cohen R, Rothman AI, Poldre P, Ross J. Validity and generaliza-bility of global ratings in an objective structured clinical examination. Acad Med 1991;66:545–548.
Anastakis DJ, Cohen R, Resnick RK. The Structured Oral Examination as a method for assessing surgical residents. Am J Surg 1991;162:67–70.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1997 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Amiel, G.E., Tann, M., Krausz, M., Bitterman, A., Cohen, R. (1997). A Combined Structured Oral Examination (SOE) and OSCE for the Assessment of Clinical Competence. In: Scherpbier, A.J.J.A., van der Vleuten, C.P.M., Rethans, J.J., van der Steeg, A.F.W. (eds) Advances in Medical Education. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4886-3_121
Download citation
DOI: https://doi.org/10.1007/978-94-011-4886-3_121
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-6048-6
Online ISBN: 978-94-011-4886-3
eBook Packages: Springer Book Archive