School of Medicine, The University of New South Wales, Kensington, NSW, Australia.
Office of Medical Education, University of New South Wales, Sydney, NSW, Australia.
J Educ Eval Health Prof. 2021;18:11. doi: 10.3352/jeehp.2021.18.11. Epub 2021 Jun 1.
The coronavirus disease 2019 (COVID-19) pandemic has required educators to adapt the in-person objective structured clinical examination (OSCE) to online settings in order for it to remain a critical component of the multifaceted assessment of a student’s competency. This systematic scoping review aimed to summarize the assessment methods and validity and reliability of the measurement tools used in current online OSCE (hereafter, referred to as teleOSCE) approaches. A comprehensive literature review was undertaken following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Articles were eligible if they reported any form of performance assessment, in any field of healthcare, delivered in an online format. Two reviewers independently screened the results and analyzed relevant studies. Eleven articles were included in the analysis. Pre-recorded videos were used in 3 studies, while observations by remote examiners through an online platform were used in 7 studies. Acceptability as perceived by students was reported in 2 studies. This systematic scoping review identified several insights garnered from implementing teleOSCEs, the components transferable from telemedicine, and the need for systemic research to establish the ideal teleOSCE framework. TeleOSCEs may be able to improve the accessibility and reproducibility of clinical assessments and equip students with the requisite skills to effectively practice telemedicine in the future.
2019 年冠状病毒病（COVID-19）大流行要求教育工作者将面对面的客观结构化临床考试（OSCE）适应在线环境，以便其仍然是学生能力的多方面评估的关键组成部分。本系统范围综述旨在总结当前在线 OSCE（以下简称远程 OSCE）方法中使用的评估方法以及测量工具的有效性和可靠性。根据系统评价和荟萃分析扩展的首选报告项目进行了全面的文献综述，以进行范围审查指南。如果文章报告了任何形式的绩效评估，涉及任何医疗保健领域，并以在线形式提供，则符合条件。两名评审员独立筛选结果并分析相关研究。有 11 篇文章被纳入分析。3 项研究使用了预先录制的视频，而 7 项研究则通过在线平台使用远程考官的观察。有 2 项研究报告了学生的可接受性。本系统范围综述确定了从实施远程 OSCE 中获得的一些见解、可从远程医疗中转移的组件，以及需要系统研究来建立理想的远程 OSCE 框架。远程 OSCE 可能能够提高临床评估的可及性和可重复性，并使学生具备未来有效实践远程医疗的必要技能。
