Mossey P A, Newton J P, Stirrups D R
Unit of Dental and Oral Health, University of Dundee, Scotland, UK.
Br Dent J. 2001 Mar 24;190(6):323-6. doi: 10.1038/sj.bdj.4800961.
The objective structured clinical examination (OSCE) is now an accepted tool in the assessment of clinical skills in dentistry. There are however no strict or limiting guidelines on the types of scenario that are used in the OSCE examinations and experience and experimentation will inevitably result in the refinement of the OSCE as a tool for assessment.
The aim of this study was to compare and contrast different types of clinical operative skills scenarios in multi-station OSCE examinations.
Student feedback was obtained immediately after the sitting of an OSCE examination on two different occasions (and two different cohorts of students). The same questionnaire was used to elicit the responses.
The questionnaire feedback was analysed qualitatively with particular regard to student perception of the usefulness and validity of the two different kinds of OSCE scenarios.
OSCE scenarios which involve phantom heads are perceived to lack clinical authenticity, and are inappropriate for the assessment of certain clinical operative skills. While the OSCE is useful in the examination of diagnostic, interpretation and treatment planning skills, it has apparent limitations in the examination of invasive operative procedures.
客观结构化临床考试（OSCE）如今已成为评估牙科临床技能的公认工具。然而，对于OSCE考试中所使用的场景类型，并没有严格或限定性的指导方针，经验和实践必然会促使OSCE作为一种评估工具得到完善。
本研究旨在比较和对比多站式OSCE考试中不同类型的临床操作技能场景。
在两次不同场合（针对两组不同的学生群体）进行OSCE考试后，立即收集学生反馈。使用相同的问卷来获取回答。
对问卷反馈进行了定性分析，特别关注学生对两种不同类型OSCE场景的有用性和有效性的看法。
涉及仿真人头的OSCE场景被认为缺乏临床真实性，不适用于评估某些临床操作技能。虽然OSCE在诊断、解读和治疗计划技能的考试中很有用，但在侵入性操作程序的考试中存在明显局限性。
