tag:blogger.com,1999:blog-2646672781891265261.post5140288018428282997..comments2023-10-07T12:47:43.024+00:00Comments on I'm a Medical Student, Get Me Out of Here: OSCEs From The Other SideThe Little Medichttp://www.blogger.com/profile/05743228690074334742noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-2646672781891265261.post-2340595181801860612008-01-19T15:53:00.000+00:002008-01-19T15:53:00.000+00:00Gah. Now I'm even more depressed about my performa...Gah. Now I'm even more depressed about my performance on Wednesday and Thursday...Annahttps://www.blogger.com/profile/01947936309477421694noreply@blogger.comtag:blogger.com,1999:blog-2646672781891265261.post-81743823589342489732008-01-19T14:47:00.000+00:002008-01-19T14:47:00.000+00:00Well that sounds like a relatively painless task!!...Well that sounds like a relatively painless task!! It's nice that you get paid, and get to review your skills.jysikahttps://www.blogger.com/profile/05186310724853640474noreply@blogger.comtag:blogger.com,1999:blog-2646672781891265261.post-26578325176833550652008-01-18T22:19:00.000+00:002008-01-18T22:19:00.000+00:00'Tis often remarked that managing University acade...'Tis often remarked that managing University academics is like herding cats, but I would venture that managing consultants - at least some of them - could be (on the same analogy) like herding rabidly savage cats.<BR/><BR/>What you report is really poor if true. Certainly where I work, and in the preclinical OSCEs I have been an examiner on, we would ALWAYS have a meeting beforehand to sort out the marking criteria for an OSCE station. Always.PhD scientisthttps://www.blogger.com/profile/00653179299453839890noreply@blogger.comtag:blogger.com,1999:blog-2646672781891265261.post-45093841222361950982008-01-17T20:42:00.000+00:002008-01-17T20:42:00.000+00:00phd scientist - both those ideas would be very goo...<B>phd scientist</B> - both those ideas would be very good although in practice its often not the case.<BR/><BR/>Take for example this weeks exam, There were 2 cycles running at the same time so there were 2 examiners for each skill. I'm 95% sure that they didn't meet or even discuss the station at all before hand. As a result, both were using different criteria (I know this because the other student volunteering told me so). That is what makes it unfair - if they met and had some sort of standard even within one hospital it'd be better than nothing.The Little Medichttps://www.blogger.com/profile/05743228690074334742noreply@blogger.comtag:blogger.com,1999:blog-2646672781891265261.post-26289341917497410392008-01-17T20:27:00.000+00:002008-01-17T20:27:00.000+00:00The keys to OSCEs being (reasonably) consistent ar...The keys to OSCEs being (reasonably) consistent are (i) all examiners having actually DONE the skill they are examining enough to be clear how it should be done; and (ii) all the examiners for a given station having met a day or two before to hash out any differences in opinion on specific points about how they would/should mark the station.<BR/><BR/>On the whole, (ii) usually works OK. Depending on who is available to examine, (i) can be a problem, although should be less so in clinical than in preclinical yrs as the skills will all be strictly clinical (I assume) and the assessors will all be reasonably experienced clinicians.PhD scientisthttps://www.blogger.com/profile/00653179299453839890noreply@blogger.comtag:blogger.com,1999:blog-2646672781891265261.post-63330781718880031462008-01-17T07:51:00.000+00:002008-01-17T07:51:00.000+00:00amib - thanks a lot for the link, i've requested t...<B>amib</B> - thanks a lot for the link, i've requested that they remove it. Have fun in the OSCE<BR/><BR/><B>rohin</B> - The mark schemes at out medical school seem to be rather different. There are specific points but they're grouped together under headings like "professional approach" which might include introducing yourself, checking the pt's name, not hurting the pt, etc etc. <BR/><BR/>The a final mark out of 7 is given where 3 is a fail. <BR/><BR/>I would rather there was a list of 20 or so tick boxes for different points as that takes away much of the subjectiveness. Obviously i've only seen this side of things on 3 different occasions but it looked very subjective to me (although this might be because of the way its done here).<BR/><BR/>BP cuff around the neck? Yikes, that is just slightly dangerous. It sounds like some sort of sadistic torture method. <BR/><BR/>Thanks for the comment.<BR/><BR/><B>confidence</B> - argh SPAMMMMM!The Little Medichttps://www.blogger.com/profile/05743228690074334742noreply@blogger.comtag:blogger.com,1999:blog-2646672781891265261.post-75601237719880095772008-01-16T23:18:00.000+00:002008-01-16T23:18:00.000+00:00I'm an OSCE examiner. Sure, slickness counts for t...I'm an OSCE examiner. Sure, slickness counts for the overall mark (AFAIK, all OSCEs are marked in a similar way - points for specific things, eg 20, and then a global grading out of 5. You need both above the passmark to pass. Thus a very knowledgeable student who ticks all the theory boxes but hurts the patient can still be failed) but generally don't worry about being nervous. Just concentrate on scoring the easy points (intro, consent, main parts of the exam) and you'll be fine. Plus if you have a kindly old examiner like me you might get the odd clue...<BR/><BR/>You think a third year thinking you had an enlarged kidney is bad? I examined a SECOND year who put the BP cuff around the patient's neck when I asked him to measure the ABPI. That's the first time I've had to physically stop a candidate.<BR/><BR/>I think OSCEs are a good form of assessment and fairer than any other system I've experienced/heard about.Rohinhttps://www.blogger.com/profile/06750260502455627449noreply@blogger.comtag:blogger.com,1999:blog-2646672781891265261.post-50019785925243243822008-01-16T22:55:00.000+00:002008-01-16T22:55:00.000+00:00http://help.blogger.com/bin/answer.py?answer=42578...http://help.blogger.com/bin/answer.py?answer=42578&query=word%20verification&topic=&type=f<BR/><BR/>heh...abdominal exam. 2nd year skill for us ;-)<BR/><BR/>i get to be a SIM patient as well for the 2nd years next monday. i will probably write a post as well, but i can never seem to write as well as you. oh well, i guess that's why your blog is more successful lol...AMiBhttps://www.blogger.com/profile/15630556503449531761noreply@blogger.comtag:blogger.com,1999:blog-2646672781891265261.post-8132737486435427972008-01-16T22:28:00.000+00:002008-01-16T22:28:00.000+00:00We had a 5th year teaching us a basic chest exam o...We had a 5th year teaching us a basic chest exam on Monday, there was so much to take in and he certainly knew a lot but was very confident and stressed how important it was to be slick.<BR/><BR/>I've got a loooong way to go.Anonymousnoreply@blogger.com