Presentation on theme: "Introduction of Practical OSCE at R.V.C."— Presentation transcript:
1Introduction of Practical OSCE at R.V.C. Stan HeadRoyal Veterinary College.London. UK.
2Introduction of Practical OSCE at R.V.C. Introduction-BackgroundTimingStation examplesLevel setting (Pass/fail)
3Objective Structured PRACTICAL Veterinary Examination Introduction of Practical OSCE at R.V.C.Objective Structured Clinical Examination(OSCE)Objective Structured PRACTICALVeterinary Examination(OSPVE)Royal Veterinary College.
4Objective Structured PRACTICAL Veterinary Examination Royal College Of Veterinary Surgeons (UK)‘Day One’ skills (& 'Year One')Ø History taking and "people skills"Ø Clinical ExaminationØ Knowledge of when to seek 2nd opinionØ VaccinationØ Intramuscular, intravenous or subcutaneous injectionØ Drenches, Implants and intra-vaginal spongesØ Collect blood sampleØ Administer effective sedationØ Understand asepsis, prepare a surgical field, "scrub up for surgery"Ø Administer first aidØ Support injured limb (bandage, R Jones, splint.)Ø Basic wound managementØ Basic suturing techniquesØ Basic radiologyØ Basic local anaesthesiaAcross all Animal species.
5Objective Structured PRACTICAL Veterinary Examination R.V.C. Veterinary Course :Duration: 5 yearsYear 1: Basic science + animal handlingYear 2: Species science, Communication skillsYear 3 Introduction to Clinical ScienceYears 4 & 5 Rotations: Equine ,Farm Animal, Animal Hospital, Small Animal surgery, SA medicine, Emergency medicineOSPVEOSPVEOSPVE
6Objective Structured PRACTICAL Veterinary Examination Student’s Contact 5th year¼ year = 39 students: 3 X 13 stationsOSPVE - formative Final Year Rotations Aug, Sept, Oct, Nov.2004Laboratory and surgical basedOSPVE - formative Final Year Rotations Dec, Jan, Feb 2004/05Mainly Large Animal: cows/ horsesOSPVE - Summative Final Year. March 2005OSPVE replace Viva's154 students. 22 stations 7 repeats (2½ days)
7Objective Structured PRACTICAL Veterinary Examination Station examples (first 13)1: Transfer to Clinical Skills Centre (2 min)2: Communication- Spinal Tap3: Radiology (R Lat Thoracic) (model)4: Posting Pathology Sample5: IV Catheterisation (model)6: Anaesthetic Safety Check7: Anaesthetic Circuit -Lack8: Canine BP (model)9: Dermatology- Microscope set up10: Dry + Gown11: Closed Gloving12: Skin Suture13 Disrobe- Transfer to Changing room (2 + min)
8Objective Structured PRACTICAL Veterinary Examination 14: Lame dog examination (Live dog)15: Palmar Digital Nerve Block (Live Horse + Cadaver)16: Light Bandage – Horse (Cadaver tissue)17: Remove Horse Shoe (Cadaver tissue)18: Changing rooms - Dress for cow/sheep19: Communication skill- Lame Cow20: I.M. Injection Cow (Live + Cadaver)21: California Milk Test (Mastitis) (Live Cow + Model)22: Sheep Foot Trim (Live)5 minutes and 1 min 20s changeover
9Objective Structured PRACTICAL Veterinary Examination Timing Screens in all rooms with sound
10Objective Structured PRACTICAL Veterinary Examination Candidates given label with name/ number/starting station number/ and then walked round the circuit
11Objective Structured PRACTICAL Veterinary Examination Laboratory or examination room based.
12Objective Structured PRACTICAL Veterinary Examination Preparing a patient for radiology (Hip) including up to taking the x-ray
13Objective Structured PRACTICAL Veterinary Examination Gowning for closed gloving
14Objective Structured PRACTICAL Veterinary Examination Station 21: IM injection Cow (outside)
15Objective Structured PRACTICAL Veterinary Examination Station 21: IM injection Cow (inside boxes)Box 1Box 2
25Objective Structured PRACTICAL Veterinary Examination Objective ‘Marks’1 per action= 10 – 40 in different stationsSubjective GradesGrade 4 = Good PassGrade 3 = just passGrade 2 = just failGrade 1 = Bad Fail
26Marks 4 GP 3 jp 2 jf 1 BF pass fail 2.5 Grades Linear Regression methodLinear Regression method4GP3jp2jf1BFpassfail2.5Grades
27Objective Structured PRACTICAL Veterinary Examination Linear Regression method46.8
29Objective Structured PRACTICAL Veterinary Examination Linear Regression not work well with skewed marks as this station
30Constant Group Size method Student’s are subjectively assessed as grades 1 to 4.The number of student’s attaining each Grade is counted. The cut; Pass/fail mark is set so that the number of students passing and the number failing is the same as that subjectively determined by the assessor.Good for stations with skewed marks
31Number of students with each mark, within grades. (Idealised) Constant Group Size methodThe problem is where to set the ‘cut’ mark?jpTotal Number of candidates in each group remains constantjfBFMarks
32Number of students with each mark, within grades. (Idealised) Constant Group Size methodfailpassN set by assessor Nf & NpjpTotal Number of candidates in each group remains constantjfBFn=nMarks