1. Nicky Hudson Helen Rienits
An OSCE clinical log station: driving reflection on competence development?
Nicky Hudson
Helen Rienits
Graduate School of Medicine
University of Wollongong

2. Presentation
Background
What was done
Evaluation findings
Conclusions

3. Background GSM – Educational Technology
Video Conferencing
Classroom Technologies
Online Learning Environment
Equella
Clinical Log

4. Clinical Log

5. Clinical Log – Individual Student Reports

6. Clinical log usage: first cohort (2007-2010)

7. Educational impact Assessment influences
Students and their study strategy
‘Students respect what you inspect’

8. What was done: introduction of OSCE clinical log station
Research question:
Does an OSCE clinical log station increase clinical log usage and student reflection on clinical competence development?
Ethics approval

9. Clinical log OSCE station*
Foster longitudinal recording and reflection on clinical experience
Identification of significant learning issues in relation to
Patient and self-care, health promotion, teamwork and quality and safety in health care
Scoring
Educational use of log
Case presentation
Reflection on issues related to presentation
* See copy of station

10. Standard Setting

11. Findings: Phase 2 Formative OSCE
Frequency histogram of average station scores
Cut Score = 8.89

12. Findings: Phase 2 Summative OSCE
Frequency histogram of average station scores
Cut Score = 10.03

13. Findings: Phase 3 Summative OSCE
Frequency histogram of average station scores
Cut Score = 10.97

14. Findings: Effect of OSCE on log entries

15. Findings: Clinical log usage

16. Findings: Reflection over time

17. Conclusions Student respect what you inspect
Assessment drove usage
Effect on student reflection?
Student and assessor training is key

18. Limitations Preliminary study One cohort of students
Log not completed integrated into programme

19. Future Directions Encouraging use Meeting needs of student and GSM
Incorporation of clinical log in to curriculum
Sharing of log experience
Supported by all GSM faculty
Relating it to student outcomes
Meeting needs of student and GSM
Short and long entries
Reflection

20. Acknowledgements Clinical log development team
Lori Lockyer, Marty Olmos, Linda Corrin
Alistair Lethbridge – GSM assessment officer
OSCE Clinical Log station assessors
Students