Objective structured clinical examination (OSCE) in pharmacy education - a trend

Main Article Content

Annie Shirwaikar

Keywords

Educational Measurement, Education, Professional, Clinical Competence

Abstract

Pharmacy education has undergone a radical change as it evolves towards becoming a more patient oriented profession. With a greater emphasis on problem based teaching and competency, the Objective Structured Clinical Examination (OSCE), supported by its reliability and validity became the gold standard for the evaluation of clinical skills of undergraduate students of medicine and pharmacy worldwide. Core competency evaluation has become a mandatory and critical norm for accountability of educational objectives as the traditional testing tools cannot evaluate clinical competence. Interpersonal and communication skills, professional judgment, skills of resolution etc., may be best assessed through a well- structured OSCE in comparison to oral examinations, multiple choice tests and other methods of assessment. Though OSCEs as an objective method of evaluation offer several advantages to both students and teachers, it also has disadvantages and pitfalls in implementation. This article reviews the OSCE as a trend in pharmacy education.

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References

1. Harden RM, Gleeson FA. Assessment of clinical competence using an objective structured clinical examination (OSCE). Med Educ. 1979;13(1):41-54.

2. Harden RM. What is an OSCE? Med Teach. 1988;10(1):19-22.

3. The Medical Council of Canada. Available at: http://www.mcc.ca (accessed September 15, 2013).

4. The United States Medical Licensing Examination. Available at: http://www.usmle.org (accessed September 15, 2013).

5. The Pharmacy Examining Board of Canada. Available at: http://www.pebc.ca (accessed September 15, 2013).

6. Young A. Making learning portable: continuing education (CE) on an iPod. 107th Annual Meeting of the American Association of Colleges of Pharmacy, San Diego, CA, July 9-12. 2006.

7. Stowe CD, O‘Brien CE, Warmack TS, Gardner SF. Communication skill development: OSCE assessment of lay and healthcare provider encounters. 108th Annual Meeting of the American Association of Colleges of Pharmacy. Orlando, FL, July 14-17, 2007.

8. Allen R, Mihm LB, Mihm DJ, Robinson D, et al. Evaluating the impact of a nutrition service-learning course on first-year pharmacy students. 109th Annual Meeting of the American Association of Colleges of Pharmacy, Chicago, IL. July 19-23, 2008.

9. Deloatch KH, Coker HG, White-Harris CY. Comparability of student academic performance in a dual-campus doctor of pharmacy program using videoteleconferencing. 110th Annual Meeting of the American Association of 10 Colleges of Pharmacy, Boston, MA, July 18-22, 2009.

10. Monaghan MS, Turner PD, Vanderbush RE, Grady AR. Traditional student, nontraditional student and pharmacy practitioner attitudes toward the use of standardized patients in the assessment of clinical skills. Am J Pharm Educ. 2000;64(1):27-32.

11. Austin Z, O’Byrne CC, Pugsley J, Munoz LQ. Development and validation processes for an objective structured clinical examination (OSCE) for entry-to-practice certification in pharmacy: the Canadian experience. Am J Pharm Educ. 2003;67(3):76.

12. Ahmed A, Mohamad HN, Qais Ahmad MA. Perception of pharmacy students in malaysia on the use of objective structured clinical examinations to evaluate competence. Am J Pharm Educ. 2007;71(6):118.

13. Rutter PM. The introduction of observed structured clinical examinations (OSCEs) to the M.Pharm degree pathway. Pharm Educ. 2002;1:173-180.

14. Corbo M, Patel JP, Abdel Tawab R, Davies JG.Evaluating clinical skills of undergraduate pharmacy students using objective structured clinical examinations (OSCEs).Pharm Educ. 2006;6:53-58.

15. Salinitri FD, O'Connell MB, Garwood CL, Lehr VT, Abdallah K. An objective structured clinical examination to assess problem-based learning.. Am J Pharm Educ. 2012;76(3):44. doi: 10.5688/ajpe76344

16. Accreditation Council for Pharmacy Education. Accreditation standards. Available at: http://www.acpe-accredit.org/deans/standards.asp (accessed September 15, 2013).

17. American Association of Colleges of Pharmacy. Center for the Advancement of Pharmaceutical education. Available at: http://www.aacp.org/resources/education/Pages/CAPEEducationalOutcomes.aspx (accessed September 15, 2013).

18. Commission to Implement Change in Pharmaceutical Education. Background paper II: Entry-level curricular outcomes, curricular content and educational process. Am J Pharm Educ. 1993;57:377-385.

19. Cusimano MD, Cohen R, Rucker W, Murnaghan J, Kodama R, Reznick R. A comparative analysis of the costs of administration of an OSCE. Acad Med. 1994;69(7):571-576.

20. Sloan DA, Donnelly MB, Schwartz RW, Felts JL, Blue AV, Strodel WE. The use of objective structured clinical examination (OSCE) for evaluation and instruction in graduate medical education. J Surg Res. 1996;63(1):225-230.

21. Awaisu A, Abd Rahman NS, Nik Mohamed MH, Bux Rahman Bux SH, Mohamed Nazar NI. Malaysian pharmacy students' assessment of an objective structured clinical examination (OSCE). Am J Pharm Educ. 2010;74(2):34.

22. Sturpe DA. Objective structured clinical examinations in doctor of pharmacy programs in the United States. Am J Pharm Educ. 2010;74(8):148.

23. Hastings JK, Flowers SK, Pace AC, Spadaro D.An Objective Standardized Clinical Examination (OSCE) in an advanced nonprescription medicines course. Am J Pharm Educ. 2010;74(6):98.

24. Rushforth HE. Objective structured clinical examination (OSCE): review of literature and implications for nursing education. Nurse Educ Today. 2007;27(5):481-490.

25. Zayyan M. Objective structured clinical examination: the assessment of choice. Oman Med J. 2011;26(4):219-222. doi: 10.5001/omj.2011.55

26. McAleer S, Walker R. Objective structured clinical examination (OSCE). Occas Pap R Coll Gen Pract. 1990;(46):39-42.

27. Barman A. Critiques on the objective structured clinical examination. Ann Acad Med Singapore. 2005;34(8):478-482.

28. Harden RM, Stevenson M, Downie WW, Wilson GM. Assessment of clinical competence using objective structured examination. Br Med J. 1975;1(5955):447-451.

29. Dent JA, Ronald MH. Practical guide for medical teachers.3rd edition, Oxford: Elsevier;2009: ISBN: 978-0-7020-4551-6