1. OSPE James Ware Train the Trainer Assessment Workshop October 29, 2003 Hong Kong International Consortium

2. What is OSPE?  Objective  Structured  Practical  Examination

3. OSPE for the Basic Medical Sciences  Reflect the objectives  Set at the appropriate level  Understanding the theory  Applying the theory  Acquiring practical skills

4. Topical Coverage  Similarities to OSCE  Advantages  What tasks  Station types  Station examples  Special tasks

5. OSPE & OSCE Similarities  Structured  Multiple station delivery  Variety of skills and tasks  Observers used  All candidates take same test  Scoring considerations

6. Advantages over Practical Exam  Better coverage  Less duplicated equipment  Less preparation for each task  Reduced cost  Supervision easier

7. OSPE can Test  Laboratory based measurement  Microscopy skills  Simulated skills  Applied medical science  Laboratory procedures  Special tasks

8. Station Types in an OSPE 1. Microscope 2. Specimens 3. Computer 4. Laboratory equipment 5. SPs 6. X-ray, laboratory preps & results

9. Station Issues Histology and histopathology  Are microscopy skills required?  What purpose? Consider computer images  Focused, same, annotated and animated  Supports study strategy better

10. Station Example 1a A C B Use a sequence of annotated photomicrographs

11. Click to enlarge area Station Example 1b Use a sequence of annotated photomicrographs

12. Station Example 2 Specimens create several problems

13. Problems with Specimens  Duplicates are difficult  Multiples may not be similar  Duplicates can be costly  If fresh, handling issues  If fresh, survival of the tissue!  Labelling a problem

14. Station Example 3 + Computers allow a complex array of illustrations Click here for normal

15. Station Example 3 + Computers allow an array of illustrations Click here for normal

16. Station Example 3 + Computers allow an array of illustrations

17. Station Example 4  Clinical measurements  Body mass determination  Lung function  ECG  Nutritional status Using Equipment

18. Station Example 5a Applied Anatomy  Observer  SP  Examining couch  Curtained area  Gloves  Hand washing

19. Station Example 5b Radiological Anatomy A A B B C C D D E E

20. Station Example 6  Path form  Urine  Chem path  Blood smear  Blood indices  Perform tests  Urinalysis  Sedimentation rate Laboratory Investigations

21. Special Tasks Put together equipment  Use of models  EBM task – a search

22. OSPE THANK YOU FOR YOUR ATTENTION  Images have been prepared for insertion into OSPE stations