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งานนำเสนอกำลังจะดาวน์โหลด โปรดรอ
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การอบรมเชิงปฏิบัติการเรื่อง “การสร้างข้อสอบ OSCE”
Alternative/Innovative method to assess skill การอบรมเชิงปฏิบัติการเรื่อง “การสร้างข้อสอบ OSCE” วันที่ ตุลาคม 2546 รศ.พญ.พรรณี ศิริวรรธนาภา ภาควิชาสูติศาสตร์และนรีเวชวิทยา คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่
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OSLER O Objective S Structured L Long E Examination R Record
Prof. Fergus Gleeson Gastroenterologists Ireland
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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
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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
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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
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OSLER check lists 1. History taking and Presentation 25
pace and clarity 5 history taking process 5 systematic presentation 5 Correct facts established 10
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OSLER check lists (cont.)
2. Physical examination 25 systematic corrected technique attitudes * correct findings established 10
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OSLER check lists (cont.)
3. Investigations appropriate 10 logical sequence 10 4. Management appropriate 10 holistic* 10
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OSLER check lists (cont.)
5. Clinical acumen 10 problem identification 5 problem solving ability 5
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Scoring system Grades Marks P+ = very good /excellent
60, 65, 70, 75, 80 P = pass/borderline pass 50, 55 P - = below pass 40, 45
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Fail Criterior < 50 Marks OR > 7 P -
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Case difficulty Standard - case c 1 problem
difficult case c 2-3 problems Very difficult - case c 3+ problems
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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
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Administration of OSLER (cont.)
basic instruments should be provided same environment of examination place Characters of case not so complicated well co - operated
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