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9. 9 Skill Assessment of 4 th Year students in KMU

10. 10 Current situation of assessment in KMU We have two types of examination:We have two types of examination: 1.Written 2.Practical Written exam is given by the following types of questions: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}

11. 11 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}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.5 marks are given for daily evaluation and attendance of the students.

12. 12 Aims of Assessment Comparing with standardComparing with standard Providing feedbackProviding feedback Information for decision makingInformation for decision making Motivating learnersMotivating learners Accreditation to educators and societyAccreditation to educators and society

13. 13 Formative and Summative Assessment Formative assessmentFormative assessment To identify where and how to improve during curriculum. Summative assessmentSummative assessment To make decision {pass or fail} at the end of curriculum.

14. 14 Level of Clinical Competence and Assessment System- Miller pyramid Portfolio OSCE CRQ MCQ

15. 15 Goal Implementation of OSCE for the standardized assessment of the students to obtain direct assessment of skills and attitude and indirect assessment of knowledge.Implementation of OSCE for the standardized assessment of the students to obtain direct assessment of skills and attitude and indirect assessment of knowledge.

16. 16 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.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.

17. 17 Advantage of an OSCE We can assess clinical skills.We can assess clinical skills. We can design according to the purpose, not by chance.We can design according to the purpose, not by chance. The assessment can be objective or standardized using check list and manuals.The assessment can be objective or standardized using check list and manuals. High efficiency of education with feedback to the students.High efficiency of education with feedback to the students. It will also be used by certification exam.It will also be used by certification exam.

18. 18 Objectives Assuring that an individual meets predetermined minimal qualifications.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.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.Allowing students to monitor their own learning. Assessing all aspects of the students {knowledge, skills and attitude}.Assessing all aspects of the students {knowledge, skills and attitude}.

19. 19 Strategy Specification of 40% marks to practical assessment.Specification of 40% marks to practical assessment. Implementation of OSCE consisting of the following key points: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}

20. 20 Implementation Area Ali Abad Teaching Hospital for the first time.Ali Abad Teaching Hospital for the first time. Afterward by improvement it will be implemented in Maiwand teaching hospital.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.Finally we will try to start implementation of OSCE in other provincial university hospitals.

21. 21 Time of implementation Last five days of the semester is specified for 10 groups, each day two groups will attend the exam.Last five days of the semester is specified for 10 groups, each day two groups will attend the exam.

22. 22 An example of OSCE 10 minutes/station StudentsStudents - Visit each station by rotation. - Perform skills within time limits. Examiner or RaterExaminer or Rater - Assess the skills with check list. Medical Interview Skin examination Chest examination Abdominal Examination

23. 23 Check List

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28. 28 Schedule of Stations and Time Limitation

29. 29 Target Group 80 students of 4 th year, first semester divided into 10 groups of 8 students in each group.80 students of 4 th year, first semester divided into 10 groups of 8 students in each group.

30. 30 Challenges Station roomsStation rooms Simulate patientsSimulate patients Low experiencesLow experiences

31. 31 Suggestions Periodically refreshment courses for familiarization of KMU lecturers with OSCE.Periodically refreshment courses for familiarization of KMU lecturers with OSCE. Preparation of OSCE guidelines.Preparation of OSCE guidelines. Training of simulated patients.Training of simulated patients.

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