The Objective Structured Clinical Examination (OSCE) is used globally for both high and low stakes assessment. Despite its extensive use, very few published articles provide a set of best practices developing an OSCE, those that do, none apply modern understanding validity. This article provides 12 tips OSCE guided by Kane’s validity framework to ensure the assessing what it purports measure. are presented in order they would be operationalized during development.

Context Progress tests, in which learners are repeatedly assessed on equivalent content at different times their training and provided with feedback, would seem to lend themselves well a competency-based framework, requires more frequent formative assessments. The objective structured clinical examination (OSCE) progress test is relatively new form of assessment that used assess the progression skills. purpose this study was establish further evidence for use an OSCE by demonstrating...

Context The shift from a time-based to competency-based framework in medical education has created need for frequent formative assessments. Many educational programmes use some form of written progress test identify areas strength and weakness promote continuous improvement their learners. However, the role performance-based assessments, such as objective structured clinical examinations (OSCEs), testing remains unclear. Objective aims this paper are describe an OSCE assess learners at...

With the recent interest in competency-based education, educators are being challenged to develop more assessment opportunities. As such, there is increased demand for exam content development, which can be a very labor-intense process. An innovative solution this challenge has been use of automatic item generation (AIG) multiple-choice questions (MCQs). In AIG, computer technology used generate test items from cognitive models (i.e. representations knowledge and skills that required solve...

Purpose: The purpose of this study was to explore the use an objective structured clinical examination for Internal Medicine residents (IM-OSCE) as a progress test skills.

CONSTRUCT: Automatic item generation (AIG) is an alternative method for producing large numbers of test items that integrate cognitive modeling with computer technology to systematically generate multiple-choice questions (MCQs). The purpose our study describe and validate a generating plausible but incorrect distractors. Initial applications AIG demonstrated its effectiveness in items. However, expert review the initial identified key limitation where implausible options, or distractors,...

Introduction: Although several studies have explored the relationship between learning and written tests, little is understood about how performance-based examinations influence learning. The purpose of this study was to explore a formative objective structured clinical examination (OSCE) drives learning.Methods: We administered surveys residents (n = 35) at three time points determine if an OSCE influenced their learning: before immediately following OSCE, after distribution results....

Construct: This article describes the development and validity evidence behind a new rating scale to assess feedback quality in clinical workplace.Competency-based medical education has mandated shift learner-centeredness, authentic observation, frequent formative assessments with focus on delivery of effective feedback. Because been shown be variable effectiveness, an assessment workplace is important ensure we are providing trainees optimal learning opportunities. The purposes this project...

Abstract The purpose of this study was to compare the quality multiple choice questions (MCQs) developed using automated item generation (AIG) versus traditional methods, as judged by a panel experts. MCQs two methods (i.e., AIG or traditional) evaluated content experts in blinded study. Participants rated total 102 six metrics and made judgment regarding whether not each tested recall application knowledge. A Wilcoxon two-sample test differences rating scales well an overall cognitive...

Context First-year residents begin clinical practice in settings which attending staff and senior are available to supervise their work. There is an expectation that, while being supervised as they become more experienced, will gradually take on responsibilities function independently. Objectives This study was conducted define 'entrustable professional activities' (EPAs) determine the extent of agreement between level supervision expected by supervisors (CSs) reported first-year residents....

Item development is a time- and resource-intensive process. Automatic item generation integrates cognitive modeling with computer technology to systematically generate test items. To date, however, items generated using procedures have received limited use in operational testing situations. As result, the psychometric characteristics of multiple-choice are largely unknown undocumented. We present analysis results from one first empirical studies designed evaluate properties high stakes...

Theory: The move to competency-based education has heightened the importance of direct observation clinical skills and effective feedback. Objective Structured Clinical Examination (OSCE) is widely used for assessment affords an opportunity both feedback occur simultaneously. For be effective, it should include observation, performance, provision feedback, reflection, decision making, use learning change. Hypotheses: If one goals engage students think about their performance (i.e.,...

Background Previous studies have indicated that medical trainees receive inadequate instruction in transfusion medicine and this translates into insufficient knowledge throughout practice. We undertook to assess among internal a single institution using standardized oral examination case. Study Design Methods A case of an adult with clear requirement for red blood cell was created. The reviewed by content experts pilot tested on hematology their fifth postgraduate training year. administered...

The entrustable professional activity (EPA) framework has been identified as a useful approach to assessment in competency-based education. To apply an EPA for assessment, essential skills necessary entrustment occur must first be identified.Using framework, our study sought (1) define the required 7 bedside procedures expected of graduates Canadian internal medicine (IM) residency programs, and (2) develop rubrics these procedural skills.An initial list was defined each by focus groups...

Despite the increased emphasis on use of workplace-based assessment in competency-based education models, there is still an important role for multiple choice questions (MCQs) health professionals. The challenge, however, to ensure that MCQs are developed a way allow educators derive meaningful information about examinees' abilities. As educators' needs high-quality test items have evolved so has our approach developing MCQs. This evolution been reflected number ways including: different...

Objectives Currently, a 'pedagogical gap' exists in distributed medical education that distance educators teach students but typically do not have the opportunity to assess them large-scale examinations such as objective structured clinical examination (OSCE). We developed remote examiner OSCE (reOSCE) was integrated into traditional establish whether technology may be used bridge this gap. The purpose of study explore physician-examiners can replace on-site an OSCE, and determine...

Context Checklists are commonly used in the assessment of procedural competence. However, on most checklists, high scores often unable to rule out incompetence as commission a few serious errors typically results only minimal reduction performance score. We hypothesised that checklists constructed based may be better at identifying incompetence. Objectives This study sought compare efficacy an error-focused checklist and conventionally Methods 15-item for lumbar puncture (LP) input from 13...

Background: It is a doctrine that OSCE checklists are not sensitive to increasing levels of expertise whereas rating scales are. This claim based primarily on study used two psychiatry stations and it clear what degree the finding generalizes other clinical contexts. The purpose our was reexamine relationship between training scoring instruments within an OSCE.Approach: A 9-station progress test administered Internal Medicine residents in post-graduate years (PGY) 1–4. Residents were scored...

Purpose Progress testing aligns well with competency-based medical education (CBME) frameworks, which stress the importance of continuous improvement. Entrustment is a useful assessment concept in CBME models. The purpose this study was to explore use an entrustability rating scale within context objective structured clinical examination (OSCE) Test.Methods A 9-case OSCE Test administered Internal Medicine residents (PGYs 1–4). Residents were assessed using checklist (CL), global (GRS),...

Context Selected-response (SR) formats (e.g. multiple-choice questions) and constructed-response (CR) short-answer are commonly used to test the knowledge of examinees. Scores on SR typically higher than scores CR formats. This difference is often attributed examinees being cued by options within an question, but there could be alternative explanations. The purpose this study was expand previous work with regards cueing effect directly contrasting conditions that support versus memory...