Skip to main content
SpringerLink
Log in

Creating, Monitoring, and Improving a Psychiatry OSCE

A Guide for Faculty

  • Special Article
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Harden RM, Gleeson FA: Assessment of clinical competence using an observed structured clinical examination. Med Educ 1979; 13: 41–47

    CAS  PubMed  Google Scholar 

  2. Barrows HS, Abrahamson S: The programmed patient: a technique for appraising student performance in clinical neurology. Journal of Medical Education 1964; 39: 802–805

    CAS  PubMed  Google Scholar 

  3. van der Vleuten CPM, Swanson D: Assessment of clinical skills with standardized patients: state of the art. Teaching and Learning in Medicine 1990; 2: 58–76

    Article  Google Scholar 

  4. Abrahmson S (ed): The oral examination: the case for and against, in Evaluating the Clinical Skills of Medical Specialists. Evanston, IL, American Board of Medical Specialties, 1983, pp 121–124

  5. McGuire CH: The oral examination as a measure of professional competence. Journal of Medical Education 1966; 41: 267–274

    CAS  PubMed  Google Scholar 

  6. Davidson RG: A point of view: oral examinations (letter). Annals of the Royal College of Physicians and Surgeons of Canada [Annals RCPSC] 1983; 16: 114

    Google Scholar 

  7. Valberg LS, Stuart RK: A point of view: university in-training evaluation and oral examinations in internal medicine. Annals RCPSC 1983; 16: 513–515

    Google Scholar 

  8. Jayawickramarajah PT: Oral examinations in medical education. Med Educ 1985; 19: 290–293

    Article  CAS  PubMed  Google Scholar 

  9. Muzzin LJ, Hart L: Oral examinations, in Assessing Clinical Competence, edited by Neufeld VR, Norman GR. New York, Springer, 1985, pp 71–93

    Google Scholar 

  10. Leichner P, Sisler GC, Harper D: A study of the reliability of the clinical oral examination in psychiatry. Can J Psychiatry 1984; 29: 394–397

    CAS  PubMed  Google Scholar 

  11. Leichner P, Sisler GC, Harper D: The clinical oral examination in psychiatry: the patient variable. Annals RCPSC 1986; 19: 283–284

    Google Scholar 

  12. Rothman AI, Cohen R: Understanding the objective structured clinical examination (OSCE): issues and options. Annals RCPSC 1995; 28: 283–287

    Google Scholar 

  13. Kowlovitz V, Hoole AJ, Sloane PD: Implementing the objective structured clinical examination in a traditional medical school. Acad Med 1991; 66: 345–347

    Article  Google Scholar 

  14. Matsell DG, Wolfish NM, Hsu E: Reliability and validity of the objective structured clinical examination in paediatrics. Med Educ 1991; 25: 293–299

    Article  CAS  PubMed  Google Scholar 

  15. Sloan DA, Donnelly MB, Johnson SB, et al: Use of an objective structured clinical examination to measure improvement in clinical competence during the surgical internship. Surgery 1993; 114: 343–351

    CAS  PubMed  Google Scholar 

  16. McFaul PB, Taylor DJ, Howie PW: The assessment of clinical competence in obstetrics and gynecology in two medical schools by an objective structured clinical examination. British Journal of Obstetrics and Gynaecology 1993; 100: 842–846

    Article  CAS  PubMed  Google Scholar 

  17. Cohen R, Rothman A, Ross J, et al: A comprehensive assessment of graduates of foreign medical schools. Annals RCPSC 1989; 21: 505–509

    Google Scholar 

  18. Hodges B, Turnbull J, Cohen R, et al: Evaluating communication skills in the OSCE format: reliability and generalizability. Med Educ 1996; 30: 38–43

    Article  CAS  PubMed  Google Scholar 

  19. Loschen EL: Using the objective structured clinical examination in a psychiatry residency. Academic Psychiatry 1993; 17: 95–104

    Google Scholar 

  20. Famuyiwa OO, Zachariah MP, Ilechukwu STC: The objective structured clinical exam in psychiatry. Med Educ 1991; 25: 45–50

    Article  CAS  PubMed  Google Scholar 

  21. Hodges B, Lofchy J: Examining psychiatry clinical clerks with a mini-OSCE. Academic Psychiatry 1997; 21: 219–225

    Google Scholar 

  22. Hodges B, Regehr G, Hanson M, et al: Evaluating psychiatric clinical clerks with an objective structured clinical examination. Acad Med 1997; 72: 715–721

    Article  CAS  PubMed  Google Scholar 

  23. Hodges B, Regehr G, Hanson M, et al: The objective structured clinical exam in psychiatry: a validation study. Acad Med 1998; 73: 74–76

    Article  Google Scholar 

  24. Hanson M, Hodges B, McNaughton N, et al: The integration of child psychiatry into a psychiatry clerkship OSCE. Can J Psychiatry 1998; 43: 614–618

    CAS  PubMed  Google Scholar 

  25. Hodges B, Hanson M, McNaughton N, et al: What do psychiatry residents think of an objective structured clinical examination? Academic Psychiatry 1999; 23: 1–7

    Google Scholar 

  26. McNaughton N, Tiberius R, Hodges B: Effects of portraying psychologically and emotionally complex standardized patient roles. Teaching and Learning in Medicine 1999; 11: 135–141

    Article  Google Scholar 

  27. Cusimano MD, Cohen R, Tucker W, et al: A comparative analysis of the costs of administration of an OSCE. Acad Med 1994; 69: 571–576

    Article  CAS  PubMed  Google Scholar 

  28. Reznick R, Regehr G, Yee G, et al: Process rating forms versus task-specific checklists in an OSCE for medical licensure. Acad Med 1998; 73(10, suppl): S97–S99

    Article  CAS  PubMed  Google Scholar 

  29. Regehr G, MacRae H, Reznick R, et al: Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination. Acad Med 1998; 73: 993–997

    Article  CAS  PubMed  Google Scholar 

  30. Regehr G, Freeman R, Robb A, et al: OSCE performance evaluations made by standardized patients: comparing checklist and global rating scores. Acad Med 1999; 74(10, suppl): S135–S137

    Article  CAS  PubMed  Google Scholar 

  31. Hunter DM, Jones RM, Randhawa BS: The use of holistic versus analytic scoring for large-scale assessment of writing. The Canadian Journal of Program Evaluation 1996; 11: 61–85

    Google Scholar 

  32. Charlin B, Tardif J, Boshuizen PA: Scripts and medical diagnostic knowledge: theory and applications for clinical reasoning instruction and research. Acad Med 2000; 72: 182–190

    Article  Google Scholar 

  33. Hodges B, Regehr G, McNaughton N, et al: OSCE checklists do not capture increasing levels of expertise. Acad Med 1999; 74: 1129–1134

    Article  CAS  PubMed  Google Scholar 

  34. Hodges B, McNaughton N, Regehr G, et al: The challenge of creating OSCE measures to capture the characteristics of expertise. Med Educ (in press)

  35. Regehr G, Freeman R, Hodges B, et al: Assessing the generalizability of OSCE measures across content domains. Acad Med 1999; 74: 1320–1322

    Article  CAS  PubMed  Google Scholar 

  36. Barrows HS: Simulated Patients (Programmed Patients): Development and Use of a New Technique in Medical Education. Springfield, IL, CC Thomas, 1971

    Google Scholar 

  37. Stillman P, Ruggill JS, Rutala PJ, et al: Patient instructors as teachers and evaluators. Journal of Medical Education 1980; 55: 186–193

    CAS  PubMed  Google Scholar 

  38. King A, Perkowski-Roger L, Pohl S: Planning standardized patient programs: case development, patient training and costs. Teaching and Learning in Medicine 1994; 6: 6–14

    Article  Google Scholar 

  39. Hanson M, Tiberius R, Hodges B, et al: Adolescent standardized patients: methods of selection and assessment of benefits and risks. Teaching and Learning in Medicine 2002; 14: 104–113

    Article  PubMed  Google Scholar 

  40. Educating Future Physicians for Ontario: How to Run an OSCE (video and manual). University of Toronto, University of Ottawa, Queen’s University, McMaster University, and University of Western Ontario, 1994 [See Appendix B for ordering information.]

  41. Hodges B, Russell L, MacRury K, et al: The anatomy of an OSCE station: augmenting classical item statistics with expert item classification (abstract). Proceedings of the International Ottawa Conference on Assessment, Maastricht, The Netherlands, 1996

  42. Hambleton RK, Powell S: A framework for viewing the process of standard setting. Evaluation and the Health Professions 1983; 6: 3–24

    Article  CAS  PubMed  Google Scholar 

  43. Meskauskas JA: Setting standards for credentialling examinations: an update. Evaluation and the Health Professions 1986; 9: 187–203

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Psychiatry and Wilson Centre for Research in Education, Faculty of Medicine, University of Toronto, Toronto, Canada

    Brian Hodges M.D., M.Ed., FRCPC (Associate Professor and Vice-Chair (Education)

  2. Psychiatric Skills Assessment Project team, University of Toronto, Toronto, Canada

    Mark Hanson M.D., M.Ed., FRCPC,  Nancy McNaughton B.A. &  Glenn Regehr Ph.D.

Authors
  1. Brian Hodges M.D., M.Ed., FRCPC
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mark Hanson M.D., M.Ed., FRCPC
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nancy McNaughton B.A.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Glenn Regehr Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hodges, B., Hanson, M., McNaughton, N. et al. Creating, Monitoring, and Improving a Psychiatry OSCE. Acad Psychiatry 26, 134–161 (2002). https://doi.org/10.1176/appi.ap.26.3.134

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1176/appi.ap.26.3.134

Keywords

Search

Navigation