Accepted Type
Oral
Code
OE1-2-2
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Graduate Student
Affiliation
Considered for Poster
yes
Title
The OSCE date: A movie and dancing.
Length of Presentation
Background/Purpose
Students do Objective Structured Clinical Examinations (OSCEs) to assess clinical skills in preparation for ward work. The students are taught examination and are observed in formative and summative assessments. Critics of OSCEs argue that students "perform" rather than practicing patient-centered care.
Methods
This work was part of a larger study examining professional identity development in pre-clinical medical students. Focus groups were carried out over two years with groups of pre-clinical students. Transcripts were critically analyzed and themes developed.
Results
The students described the social choreography of the OSCE as they performed clinical skills. The students likened the performance to the Disney movie "Monsters Inc.". Like the scary monsters, who apprehensively wait outside the children's doors, the students nervously waited outside the standardized patient's door. The monsters are rated on their ability to scare children, while the students are assessed on their clinical skills. The monsters wait for a bell to go inside the room, as the students wait for the buzzer to enter the patient's room. The students spoke about a "backstage area" where they wait, read the scenario, and decide their actions. This area was a liminal space where the students prepared themselves for what they describe as their "performance".
Conclusion
These findings add support to concerns that OSCEs may not truly assess the ability to apply clinical skills in the complex environment of patient care. The "performance" of clinical skills through OSCE may result in hidden incompetence. The presentation concludes by proposing an alternate model of "in-situ" clinical skills assessment.
Keyword 1
Assessment
Keyword 2
OSCEs
Keyword 3
Performance
Level of Training
General
Abstract Themes
Assessment
Assessment
- General
- OSCE/OSPE/OSTE
Additional Theme (First choice)
Undergraduate
Additional Theme (Second Choice)
Assessment
Additional Theme (Third Choice)
Authors
Presenter
Jinelle Ramlackhansingh
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
