การอบรมเชิงปฏิบัติการเรื่อง “การสร้างข้อสอบ OSCE” Alternative/Innovative method to assess skill การอบรมเชิงปฏิบัติการเรื่อง “การสร้างข้อสอบ OSCE” วันที่ 2 - 3 ตุลาคม 2546 รศ.พญ.พรรณี ศิริวรรธนาภา ภาควิชาสูติศาสตร์และนรีเวชวิทยา คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่

OSLER O Objective S Structured L Long E Examination R Record Prof. Fergus Gleeson Gastroenterologists Ireland

Key features of OSLER 1. Having a forward OSLER checklist 2. Having a firm objective of assessment 3. Assessment setting like the real practice, a continuing process 4. Assess both process of history taking and correct facts established

Key features of OSLER (cont.) 5. Assessment stress on communication 6. Assessor can consider case difficulty 7. Scoring system has both grades and marks c criterion 8. Examiner’s reliability 9. Is practical regards to no need of extra assessment time

Principles of OSLER assessment Assess clinical competence of all aspects as real practice such as Communication skill Skill of physical examination Problem solving ability Attitude, ethic Holistic care

OSLER check lists 1. History taking and Presentation 25 pace and clarity 5 history taking process 5 systematic presentation 5 Correct facts established 10

OSLER check lists (cont.) 2. Physical examination 25 systematic 5 corrected technique 5 attitudes * 5 correct findings established 10

OSLER check lists (cont.) 3. Investigations 20 appropriate 10 logical sequence 10 4. Management 20 appropriate 10 holistic* 10

OSLER check lists (cont.) 5. Clinical acumen 10 problem identification 5 problem solving ability 5

Scoring system Grades Marks P+ = very good /excellent 60, 65, 70, 75, 80 P = pass/borderline pass 50, 55 P - = below pass 40, 45

Fail Criterior < 50 Marks OR > 7 P -

Case difficulty Standard - case c 1 problem difficult - case c 2-3 problems Very difficult - case c 3+ problems

Administration of OSLER 2 examiners 60 minutes for one case examination place should be arranged for examiner’s clear observation (listening and seeing) tables and chairs for history taking

Administration of OSLER (cont.) basic instruments should be provided same environment of examination place Characters of case not so complicated well co - operated