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th
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Skill Assessment of
Year students in KMU
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Current situation of assessment in
KMU
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We have two types of examination:
1. Written
2. Practical
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Written exam is given by the following
types of questions:
1. MCQs : 20 questions, each question has 2.5
marks {total score is 50 marks}
2. SAQs: 10 questions, each question has 3 marks
{total 30 marks}
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Cont…
• Practical exam is given from the students
about the history taking and physical
examination in presence of patient
immeasurably, because there is no any
standard check list. {total marks are 15}
• 5 marks are given for daily evaluation and
attendance of the students.
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Aims of Assessment
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Comparing with standard
Providing feedback
Information for decision making
Motivating learners
Accreditation to educators and society
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Formative and Summative
Assessment
• Formative assessment
To identify where and how to improve
during curriculum.
• Summative assessment
To make decision {pass or fail} at the end of
curriculum.
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Level of Clinical Competence and
Assessment System- Miller pyramid
Portfolio
OSCE
CRQ
MCQ
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Goal
• Implementation of OSCE for the
standardized assessment of the students to
obtain direct assessment of skills and
attitude and indirect assessment of
knowledge.
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So! What is an OSCE?
• OSCE or Objective Structured Clinical
Examination is a practical exam to assess
clinical skills such as medical interview,
physical examination, surgical skills and so
on.
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Advantage of an OSCE
• We can assess clinical skills.
• We can design according to the purpose, not
by chance.
• The assessment can be objective or
standardized using check list and manuals.
• High efficiency of education with feedback
to the students.
• It will also be used by certification exam.
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Objectives
• Assuring that an individual meets
predetermined minimal qualifications.
• Identifying individuals who have achieved a
level required for promotion of the student
to next level or who need to repeat the
programme.
• Allowing students to monitor their own
learning .
• Assessing all aspects of the students
{knowledge , skills and attitude}.
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Strategy
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Specification of 40% marks to practical assessment.
Implementation of OSCE consisting of the
following key points:
1. One examiner and one time keeper for each station.
2. Establishment of four following stations:
- Medical Interview
- Skin examination
- Chest examination
- Abdominal examination
3. Check list : { 80 items each has 0.5 points totally 40
points or marks}
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Implementation Area
• Ali Abad Teaching Hospital for the first time.
• Afterward by improvement it will be
implemented in Maiwand teaching hospital.
• Finally we will try to start implementation
of OSCE in other provincial university
hospitals.
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Time of implementation
• Last five days of the semester is specified for
10 groups, each day two groups will attend
the exam.
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An example of OSCE
10 minutes/station
Skin
examination
Medical
Interview
• Students
- Visit each station by rotation.
- Perform skills within time limits.
• Examiner or Rater
- Assess the skills with check list.
Abdominal
Examination
Chest
examination
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Check List
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Cont…
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Cont…
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Cont…
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Cont…
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Schedule of Stations and
Time Limitation
Medical
Interview Skin Station
Station
9:00 - 9:10
9:10 – 9:20
9: 20 – 9:30
9: 30 – 9: 40
9: 40 – 9: 50
9: 50 – 10:00
10: 00 – 10 :10
10 : 10 – 10: 20
A1
A4
A3
A2
A5
A8
A7
A6
A2
A1
A4
A3
A6
A5
A8
A7
Chest
Station
Abdomen
Station
A3
A2
A1
A4
A7
A6
A5
A8
A4
A3
A2
A1
A8
A7
A6
A5
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Target Group
• 80 students of 4th year , first semester
divided into 10 groups of 8 students in each
group.
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Challenges
• Station rooms
• Simulate patients
• Low experiences
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Suggestions
• Periodically refreshment courses for
familiarization of KMU lecturers with
OSCE.
• Preparation of OSCE guidelines.
• Training of simulated patients.
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