Introduction of Objective Structured Clinical Examination in 3rd Professional MBBS students in K P C Medical College & Hospital, Jadavpur, Kolkata for evaluation of their competencies

Dr. Ashis Kumar Saha; Dr. Goutam Chatterjee

Volume : VII, Issue : XI, November - 2018

Introduction of Objective Structured Clinical Examination in 3rd Professional MBBS students in K P C Medical College & Hospital, Jadavpur, Kolkata for evaluation of their competencies

Dr. Ashis Kumar Saha, Dr. Goutam Chatterjee

Abstract :

Introduction: OSCE has been increasingly used for evaluation of clinical skill in cognitive, psychomotor and affective domain of student�s knowledge to avoid disadvantages of traditional curriculum – which examine only the factual knowledge, little clinical skill lacking objectivity. Aim of the study is to sensitize the students and faculties and introduce OSCE in final MBBS students in the department of Medicine. Study design: This cross–sectional study was performed in one hundred 3rd Professional MBBS students of K P C Medical College& Hospital in the department of General medicine in collaboration with other faculties of the same department. After proper sensitization the students� performance was evaluated using 11 OSCE stations. Data was collected by Marks obtained from the students in OSCE stations and feed–back Questionnaire by Questionnaire designed by Movaffaghi et al. and check list. The feedback from the 3rd Professional MBBS students and faculties was analyzed with the help of descriptive statistics and the data from the focus group discussion was analyzed by transcription of a focus group, interpret focus group notes, analyze qualitative data to identify common categories and themes. Result: It was shown that 98% of the students agreed that examination is fair, that examination is according to the proper guideline, 75% of students agreed that the examination was not stressful. More than 90% of students supported that the coverage of the knowledge was good, number of stations were inadequate, examination conduction was good, questions were well–structured, and they were well known about their weakness in clinical, procedural as well as communication skills. 100% respondents agreed about the clear questions, fairness of the tasks to be performed, method of assessment of skills and regarding cooperation of the simulated patients during examination. 90% agree with the relevance of the question with the subject taught, appropriate supervision of the workstations. After focused group discussion with students and faculties, all of them agreed that this examination is unbiased, provides proper judgment, non–stressed. In conclusion OSCE as a better unbiased, valid reliable but never flawless examination for assessment as compared to viva voce or oral examinations.