American Journal of Obstetrics & Gynecology
Volume 200, Issue 1 , Pages 25-34 , January 2009

To the point: reviews in medical education—the Objective Structured Clinical Examination

  • Petra M. Casey, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN
    • Corresponding Author InformationReprints: Petra M. Casey, MD, Department of Obstetrics and Gynecology, Mayo Clinic, 200 First St SW, Rochester, MN 55905
    • ,
  • Alice R. Goepfert, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL
    • ,
  • Eve L. Espey, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque, NM
    • ,
  • Maya M. Hammoud, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Weill Cornell Medical College in Qatar, Doha, Qatar
    • ,
  • Joseph M. Kaczmarczyk, DO, MPH

      Affiliations

    • Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, Bethesda, MD
    • ,
  • Nadine T. Katz, MD

      Affiliations

    • Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine, Bronx, NY
    • ,
  • James J. Neutens, PhD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Tennessee Knoxville, Knoxville, TN
    • ,
  • Francis S. Nuthalapaty, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of South Carolina School of Medicine, Greenville, SC
    • ,
  • Edward Peskin, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester, MA
    • ,
  • Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee

Received 3 June 2008 ,Revised 19 September 2008 ,Accepted 30 September 2008.

References 

  1. Kassebaum DG, Eaglen RH. Shortcomings in the evaluation of students' clinical skills and behaviors in medical school. Acad Med. 1999;74:842–849
  2. Wilkerson L, Lee M. Assessing physical examination skills of senior medical students: knowing how versus knowing when. Acad Med. 2003;78(Suppl 10):S30–S32
  3. Harden RM, Stevenson M, Downie WW, Wilson GM. Assessment of clinical competence using objective structured examination. Br Med J. 1975;1:447–451
  4. Adamo G. Simulated and standardized patients in OSCEs: achievements and challenges 1992-2003. Med Teach. 2003;25:262–270
  5. McFaul PB, Taylor DJ, Howie PW. The assessment of clinical competence in obstetrics and gynaecology in two medical schools by an objective structured clinical examination. Br J Obstet Gynaecol. 1993;100:842–846
  6. Newble D. Techniques for measuring clinical competence: objective structured clinical examinations. Med Educ. 2004;38:199–203
  7. Barzansky B, Etzel SI. Educational programs in US medical schools, 2002-2003. JAMA. 2003;290:1190–1196
  8. Common Program Requirements: General Competencies: Approved by the ACGME Board Feb. 13, 2007 [Internet]. Chicago: Accreditation Council for Graduate Medical Education. c2000-2008 [cited May 13, 2008]. Available at: http://www.acgme.org/outcome/comp/GeneralCompetenciesStandards21307.pdf. Accessed June 1, 2008.
  9. Frohna JG, Gruppen LD, Fliegel JE, Mangrulkar RS. Development of an evaluation of medical student competence in evidence-based medicine using a computer-based OSCE station. Teach Learn Med. 2006;18:267–272
  10. Mavis BE, Henry RC. Between a rock and a hard place: finding a place for the OSCE in medical education. Med Educ. 2002;36:408–409
  11. Mazor KM, Zanetti ML, Alper EJ, et al. Assessing professionalism in the context of an objective structured clinical examination: an in-depth study of the rating process. Med Educ. 2007;41:331–340
  12. Tamblyn R, Abrahamowicz M, Dauphinee D, et al. Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. JAMA. 2007;298:993–1001
  13. Selby C, Osman L, Davis M, Lee M. Set up and run an objective structured clinical exam. BMJ. 1995;310:1187–1190
  14. van der Vleuten C. Validity of final examinations in undergraduate medical training. BMJ. 2000;321:1217–1219
  15. Tervo RC, Dimitrievich E, Trujillo AL, Whittle K, Redinius P, Wellman L. The Objective Structured Clinical Examination (OSCE) in the clinical clerkship: an overview. S D J Med. 1997;50:153–156
  16. Chenot JF, Simmenroth-Nayda A, Koch A, et al. Can student tutors act as examiners in an objective structured clinical examination?. Med Educ. 2007;41:1032–1038
  17. Nackman GB, Griggs M, Galt J. Implementation of a novel Web-based objective structured clinical evaluation. Surgery. 2006;140:206–211
  18. Doig CJ, Harasym PH, Fick GH, Baumber JS. The effects of examiner background, station organization, and time of exam on OSCE scores assessing undergraduate medical students' physical examination skills. Acad Med. 2000;75(Suppl 10):S96–S98
  19. Association for Standardized Patient Educators [Internet]. New Orleans: Association of Standardized Patient Educators; c2008 [cited 2008 August]. Available from: http://www.aspeducators.org.
  20. Wilkinson TJ, Frampton CM, Thompson-Fawcett M, Egan T. Objectivity in objective structured clinical examinations: checklists are no substitute for examiner commitment. Acad Med. 2003;78:219–223
  21. Kramer A, Muijtjens A, Jansen K, Dusman H, Tan L, van der Vleuten C. Comparison of a rational and an empirical standard setting procedure for an OSCE: objective structured clinical examinations. Med Educ. 2003;37:132–139Erratum in: Med Educ 2003;37:574
  22. Kaufman DM, Mann KV, Muijtjens AM, van der Vleuten CP. A comparison of standard-setting procedures for an OSCE in undergraduate medical education. Acad Med. 2000;75:267–271
  23. Boursicot KA, Roberts TE, Pell G. Using borderline methods to compare passing standards for OSCEs at graduation across three medical schools. Med Educ. 2007;41:1024–1031
  24. Morrison H, McNally H, Wylie C, McFaul P, Thompson W. The passing score in the objective structured clinical examination. Med Educ. 1996;30:345–348
  25. Martin IG, Stark P, Jolly B. Benefiting from clinical experience: the influence of learning style and clinical experience on performance in an undergraduate objective structured clinical examination. Med Educ. 2000;34:530–534
  26. Blaskiewicz RJ, Park RS, Chibnall JT, Powell JK. The influence of testing context and clinical rotation order on students' OSCE performance. Acad Med. 2004;79:597–601
  27. Bienstock JL, Tzou WS, Martin SA, Fox HE. Effect of student ethnicity on interpersonal skills and objective standardized clinical examination scores. Obstet Gynecol. 2000;96:1011–1013
  28. Keely E, Myers K, Dojeiji S. Can written communication skills be tested in an objective structured clinical examination format?. Acad Med. 2002;77:82–86
  29. Zakowski LJ, Seibert C, VanEyck S, Skochelak S, Dottl S, Albanese M. Can specialists and generalists teach clinical skills to second-year medical students with equal effectiveness?. Acad Med. 2002;77:1030–1033
  30. McLaughlin K, Gregor L, Jones A, Coderre S. Can standardized patients replace physicians as OSCE examiners?. BMC Med Educ. 2006;6:12
  31. Simon SR, Volkan K, Hamann C, Duffey C, Fletcher SW. The relationship between second-year medical students' OSCE scores and USMLE Step 1 scores. Med Teach. 2002;24:535–539
  32. Probert CS, Cahill DJ, McCann GL, Ben-Shlomo Y. Traditional finals and OSCEs in predicting consultant and self-reported clinical skills of PRHOs: a pilot study. Med Educ. 2003;37:597–602Erratum in: Med Educ 2003;37:1058
  33. Dijcks R, Prince KJ, van der Vleuten CP, Scherpbier AJ. Validity of objective tests towards peer-rated competence by students. Med Teach. 2003;25:273–276

 The views expressed in this article are those of the authors and do not reflect the official policy or position of the US Department of Defense, the US Department of Health and Human Services, or the US government.

PII: S0002-9378(08)02002-4

doi: 10.1016/j.ajog.2008.09.878

American Journal of Obstetrics & Gynecology
Volume 200, Issue 1 , Pages 25-34 , January 2009

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