Department of Ophthalmology, Pad. Dr. D. Y. Patil Medical College, Dhankawadi, India.
Indian J Ophthalmol. 2011 May-Jun;59(3):211-4. doi: 10.4103/0301-4738.81032.
There has been a growing concern among medical educators about the quality of medical graduates trained in various medical colleges in our country. Data based on the faculty and student perceptions of undergraduate curriculum indicate a need for laying more stress on practical skills during their training and assessment. The Objective Structured Clinical Examination (OSCE) is a reliable and an established and effective multistation test for the assessment of practical skills in an objective and a transparent manner. The aim of this article is to sensitize universities, examiners, organizers, faculty, and students across India to OSCE.
We designed an assessment based on 22-station OSCE and administered it to 67 students during their final year, integrating all the domains of learning, that is higher order cognitive domain, psychomotor domain, and affective domain. Data analysis was done using SPSS version 15.
The OSCE was feasible to conduct and had high perceived construct validity. There was a significant correlation between the station score and total examination score for 19 stations. The reliability of this OSCE was 0.778. Both students and faculty members expressed a high degree of satisfaction with the format.
Integrating a range of modalities into an OSCE in ophthalmology appears to represent a valid and reliable method of examination. The biggest limitation with this format was the direct expenditure of time and energy of those organizing an OSCE; therefore, sustaining the motivation of faculty might pose a challenge.
我国各医学院校培养的医学毕业生质量问题，引起了医学教育者的广泛关注。基于教师和学生对本科课程的看法得出的数据表明，在培训和评估过程中需要更加注重实践技能。客观结构化临床考试（OSCE）是一种可靠且已建立的有效多站式考试，可以客观、透明地评估实践技能。本文旨在使印度各地的大学、考试人员、组织者、教师和学生了解 OSCE。
我们设计了一个基于 22 站 OSCE 的评估，并在学生的最后一年对 67 名学生进行了评估，将学习的所有领域（即高级认知领域、心理运动领域和情感领域）整合在一起。使用 SPSS 版本 15 进行数据分析。
OSCE 易于进行，并且具有较高的感知结构有效性。对于 19 个站，站得分与总考试得分之间存在显著相关性。该 OSCE 的可靠性为 0.778。学生和教师都对这种格式表示高度满意。
将多种模式整合到眼科 OSCE 中似乎代表了一种有效且可靠的考试方法。这种格式的最大限制是组织 OSCE 的人员直接花费的时间和精力；因此，维持教师的积极性可能是一个挑战。
