Skill Assessment of 4th Year students in KMU

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By the name of most
merciful and almighty Allah
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(No Transcript)
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Students in KMU
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Students in KMU
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Cafeteria
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Microbiology Dept. Lab
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KMU
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Maiwand Teaching Hospital
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Skill Assessment of 4th Year students in KMU
Prepared by
Prof. A.Hanan Baray Member of Internal Medicine
Dept.
Assist. Prof. Nasiri Head of Paediatric Dentistry
Dept.
Assist. Prof. Hamdard member of Dermatology Dept.
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Current situation of assessment in KMU

• We have two types of examination
• Written
• Practical
• Written exam is given by the following types of
  questions
• MCQs 20 questions, each question has 2.5 marks
  total score is 50 marks
• SAQs 10 questions, each question has 3 marks
  total 30 marks

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

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Aims of Assessment

• Comparing with standard
• Providing feedback
• Information for decision making
• Motivating learners
• Accreditation to educators and society

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Formative and Summative Assessment

• Formative assessment
• To identify where and how to improve during
  curriculum.
• Summative assessment
• To make decision pass or fail at the end of
  curriculum.

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Level of Clinical Competence and Assessment
System- Miller pyramid
Portfolio
Does
Shows How
OSCE
Knows How
CRQ
Knows
MCQ
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Goal

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

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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.

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Advantage of an OSCE

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

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Objectives

• 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.
• Allowing students to monitor their own learning .
• Assessing all aspects of the students knowledge
  , skills and attitude.

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Strategy

• Specification of 40 marks to practical
  assessment.
• Implementation of OSCE consisting of the
  following key points
• One examiner and one time keeper for each
  station.
• Establishment of four following stations
• - Medical Interview
• - Skin examination
• - Chest examination
• - Abdominal examination
• Check list 80 items each has 0.5 points
  totally 40 points or marks

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Implementation Area

• Ali Abad Teaching Hospital for the first time.
• 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.

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Time of implementation

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

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An example of OSCE10 minutes/station
Skin examination
Medical Interview

• Students
• - Visit each station by rotation.
• - Perform skills within time limits.
• Examiner or Rater
• - Assess the skills with check list.

Chest examination
Abdominal Examination
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Check List
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Cont
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Cont
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Cont
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Cont
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Schedule of Stations and Time Limitation
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Target Group

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

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Challenges

• Station rooms
• Simulate patients
• Low experiences

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Suggestions

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

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Thanks for Your attention
Arigato Gozaimashita
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Any Questions

?