PMID: 8949537Jul 1, 1996Paper

A multi-format interdisciplinary final examination

Medical Education
J P Collins, G D Gamble

Abstract

Limitations of the traditional final medical examination for the assessment of clinical competence led to such developments as simulated patients and the Objective Structured Clinical Examination (OSCE). An interdisciplinary OSCE incorporating simulated patients and involving nine disciplines was introduced into the final examination in the Auckland School of Medicine to supplement the written papers and the long case. Six-hundred and eight students were assessed over a 6-year period. Each of the three examination modes provided good discriminatory power. Significant correlations were found between the tests, but this does not mean one or more is redundant. Principal component analysis showed that a single significant factor accounted for over half the variance in the final assessment. This factor was equally weighted to the three examinations. A variety of evaluative methods are necessary to assess a student's competence and greater emphasis should be placed on those methods which encourage the learning of clinical skills and concurrently provide an appropriate mechanism for assessing them. The changes introduced have been supported by students and teachers and have fostered the learning of important clinical skills. Efforts t...Continue Reading

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Citations

May 16, 1998·The Journal of Pathology·E W BenbowP A O'Neill
Aug 4, 2005·Advances in Health Sciences Education : Theory and Practice·Chirayu AuewarakulUapong Jaturatamrong
Feb 4, 2012·Annals of Surgical Oncology·Kiran K TuragaT Clark Gamblin
Apr 27, 2011·Medical Teacher·Katharine BoursicotElango Sambandam
Mar 15, 2003·International Journal of Neural Systems·Amer Al-Nassiri
Oct 5, 2006·Current Opinion in Anaesthesiology·E Moss

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