国际经验与台湾发展.pdfVIP

高階 OSCE 之 國際經驗與台灣發展 劉克明 高雄醫學大學 98.03.14. OSCE之國際經驗 • OSCE required for graduation – No National Board Examination Country, • OSCE including in National Licensure Examination, • OSCE required for qualification of the National Board Examination. Objective Structured Clinical Examination • Introduced by Harden in 1975 • Standard assessment method across world • Questions remain: – Optimum length stations? – Number of stations? – Pass standard setting? – Competence assessment? – Global or criterion mark sheet? – Training of assessors – Validity versus reliability – Utility value: assessment drives learning – Desirability of one assessment method Why an OSCE? Objective: to minimise bias, Structured: to ensure adequate and consistent sampling of variables, What is an OSCE? Objective: Structured: Clinical: to assess competence in patient care, for example initial assessment, history taking or management, Examination: under the stress of time and external pressures. OSCE required for graduation: No National Board Examination Country Glasgow University • OSCE strategy 1, 2 (15) and 3 (26) stations. • Year 1 formative: Triadic OSCE, 7 x 5 minutes stations, preparatory talk , DVD of previous year, literature on website, exemplars of assessment forms • Year 2 summative: 15 stations overall: – Part 1 examination: single day, 250 students, 5 hospitals, 10 station OSCE, single examiner. – Part 2 examination: single day, 250 per day, Wolfson, 5 station, some unmanned. OSCE strategy 1, 2 (15) and 3 (26) stations • Year 3 summative: 26 stations overall: – Part 1 exami