Alternative/Innovative method to assess skillAlternative/Innovative method to assess skill

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OSLEROSLER

O ObjectiveS StructuredL LongE ExaminationR Record Prof. Fergus Gleeson

GastroenterologistsIreland

Key features of OSLERKey features of OSLER

1. Having a forward OSLER checklist

2. Having a firm objective of assessment

3. Assessment setting like the real practice, a continuing process

4. Assess both process of history taking and correct facts established

Key features of OSLER (cont.)Key features of OSLER (cont.)

5. Assessment stress on communication

6. Assessor can consider case difficulty

7. Scoring system has both grades and marks c criterion

8. Examiner’s reliability

9. Is practical regards to no need of extra assessment time

Principles of OSLER assessment

Assess clinical competence of all aspects as real practice such as

• Communication skill

• Skill of physical examination

• Problem solving ability

• Attitude, ethic

• Holistic care

OSLER check listsOSLER check lists

1. History taking and Presentation 25

• pace and clarity 5

• history taking process 5

• systematic presentation 5

• Correct facts established 10

OSLER check lists (cont.)OSLER check lists (cont.)

2. Physical examination 25

• systematic 5

• corrected technique 5

• attitudes* 5

• correct findings established 10

OSLER check lists (cont.)OSLER check lists (cont.)

3. Investigations 20

• appropriate 10

• logical sequence 10

4. Management 20

• appropriate 10

• holistic* 10

OSLER check lists (cont.)OSLER check lists (cont.)

5. Clinical acumen 10

• problem identification 5

• problem solving ability 5

Scoring systemScoring system

Grades Grades Marks Marks

P+ = very good /excellent 60, 65, 70, 75, 80

P = pass/borderline pass 50, 55

P - = below pass 40, 45

Fail Criterior

< 50 < 50 MarksMarksOO

RR > 7 P -> 7 P -

Case difficultyCase difficulty

Standard - case c 1 problem

difficult - case c 2-3 problems

Very difficult - case c 3+ problems

Administration of OSLER

• 2 examiners

• 60 minutes for one case

• examination place should be arranged for examiner’s clear observation (listening and seeing)

• tables and chairs for history taking

Administration of OSLER (cont.)

• basic instruments should be provided

• same environment of examination place

• Characters of case

• not so complicated

• well co - operated