Assessing clinical skills—standard setting in the objective structured clinical exam (OSCE)
Family Medicine training and assessment is becoming more formalized and developed in South Africa. Assessment of competency in relation to clinical skills can involve observation in the clinical setting, but is more usually assessed in an examination. The traditional “long case” has been largely aba...
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| Format: | Article |
| Language: | English |
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AOSIS
2007-04-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/736 |
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| author | Bob Mash |
| author_facet | Bob Mash |
| author_sort | Bob Mash |
| collection | DOAJ |
| description | Family Medicine training and assessment is becoming more formalized and developed in South Africa. Assessment of competency in relation to clinical skills can involve observation in the clinical setting, but is more usually assessed in an examination. The traditional “long case” has been largely abandoned as it lacks reliability and validity. Summative assessment of family physician's clinical skills now usually includes an Objective Structured Clinical Examination (OSCE). Although a well designed and organized OSCE can have reasonable reliability and validity, a pass mark of 50% may in fact be an arbitrary figure, which does not credibly represent the required competency of a family physician. Standardisation of the OSCE is required to define the pass mark above which a candidate performs at the level expected of a family physician. A number of standardisation processes have been described that either judge the test items prior to the exam or judge the individual during the exam. In this paper we report on an example of the latter called the borderline regression method. |
| format | Article |
| id | doaj-art-a55f0f57ba3e446b96ea4697fb5ca532 |
| institution | Kabale University |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2007-04-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj-art-a55f0f57ba3e446b96ea4697fb5ca5322025-08-20T03:46:54ZengAOSISSouth African Family Practice2078-61902078-62042007-04-0149310.1080/20786204.2007.10873520686Assessing clinical skills—standard setting in the objective structured clinical exam (OSCE)Bob Mash0Stellenbosch UniversityFamily Medicine training and assessment is becoming more formalized and developed in South Africa. Assessment of competency in relation to clinical skills can involve observation in the clinical setting, but is more usually assessed in an examination. The traditional “long case” has been largely abandoned as it lacks reliability and validity. Summative assessment of family physician's clinical skills now usually includes an Objective Structured Clinical Examination (OSCE). Although a well designed and organized OSCE can have reasonable reliability and validity, a pass mark of 50% may in fact be an arbitrary figure, which does not credibly represent the required competency of a family physician. Standardisation of the OSCE is required to define the pass mark above which a candidate performs at the level expected of a family physician. A number of standardisation processes have been described that either judge the test items prior to the exam or judge the individual during the exam. In this paper we report on an example of the latter called the borderline regression method.https://safpj.co.za/index.php/safpj/article/view/736assessmentobjective structured clinical examinationclinical skillsborderline regression method |
| spellingShingle | Bob Mash Assessing clinical skills—standard setting in the objective structured clinical exam (OSCE) South African Family Practice assessment objective structured clinical examination clinical skills borderline regression method |
| title | Assessing clinical skills—standard setting in the objective structured clinical exam (OSCE) |
| title_full | Assessing clinical skills—standard setting in the objective structured clinical exam (OSCE) |
| title_fullStr | Assessing clinical skills—standard setting in the objective structured clinical exam (OSCE) |
| title_full_unstemmed | Assessing clinical skills—standard setting in the objective structured clinical exam (OSCE) |
| title_short | Assessing clinical skills—standard setting in the objective structured clinical exam (OSCE) |
| title_sort | assessing clinical skills standard setting in the objective structured clinical exam osce |
| topic | assessment objective structured clinical examination clinical skills borderline regression method |
| url | https://safpj.co.za/index.php/safpj/article/view/736 |
| work_keys_str_mv | AT bobmash assessingclinicalskillsstandardsettingintheobjectivestructuredclinicalexamosce |