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Associate Professor Annetine Staff Head of examination committee, member of semester committee

Professor Kai-Håkon CarlsenHead of semester committee, member of examination committee

Professor Per BrodalMember of semester committee, member of examination committee

New station based (OSCE) exam in 9th semester

Background

• Decided by the Board of the Medical faculty, University of Oslo

• From autumn semester 2008: written essay examination form of 9th semester has been exchanged with a station based (OSCE) examination

• First station based examination for 9th semester will be held on Wednesday the 14th of January

• Two trial exams have been held:– Winter (11 students) and summer (26 students) 2008

When and where? • Wednesday 14th of January 2009• Class divided into 4 equal-sized groups (26 students in each group)• Rikshospitalet, Ferdighetssenteret (Skills training center)• Groups 1+2: 8.30-12.27

– 8.30:

• Register (give your e-mail address for later feedback on exam result)

• Get your ID number to be used throughout the exam– 8.40-8.50: Information about exam– 9.00: start of station exam (24 test stations and 2 rest stations)

• 3 h 27 min (7 min x 26 +1 min x 25) for each student– 12.27: end of exam

• Group 1+2 leave together and assemble until 13.00, to prevent contact with Group 3+4

• Groups 3+4: 12.30-16.27– Same program as above (except allowed to leave 16.27)

Two parallel circuits of 26 stations each

• Groups 1 + 2: morning– Downstairs (learning skill center), ”underetasje”– First floor: ”M-etasjen” (mellom-etasjen)

• Groups 3 + 4: afternoon– Same as above

• 26 stations:– 9 stations gyn/obst– 9 stations ped– 4 stations anatomy/physiology– 2 stations pathology– 2 resting stations (drinking water/toilet)

Station content

• OSCE: objective standardized clinical evaluation:– Read the instructions carefully– Do what you are instructed to do

• Perform an examination, a test, etc./talk to a patient/examiner/mannequin (specified in the instruction) /fill in paper forms etc.

• If asked to communicate with a person, act as you would as a medical doctor: be polite, introduce yourself, tell what to do etc (read instructions and see what you are asked to do)

• Short answer questions– Read the instructions carefully – Do what you are instructed to do

• Fill in paper forms etc, write short answers

• MCQ: multiple choice questions– Read the instructions carefully– Do what you are instructed to do (tick most probable diagnosis etc)

• Leave paper form at station– face down (not to be seen by other students), will be picked up by examiners for scoring

In English or Norwegian?

• We assume most students will do most of the test in English, as all questions are in English, but the choice is yours!

• All station instructions are given in English• Students may communicate with

examinator/patient/mannequin/actor in either English or Norwegian

• Students may answer in written in either English or Norwegian

Stations: 7 min work and 1 minute walk/rest

• 8.30: Register • 8.40-8.50/12.40-12.50: information by examination committee

leader• 8.50/12.50: Go to your first assigned station

– First thing when arriving at the station: Fill in your ID number or show ID badge to examiner if no paper to fill in

• 9.00/ 13.00: First whistle: – start working at your first station (2 students will start at a rest station)

• 9.07/13.07: Second whistle: – stop working, leave station at once (remember ID number on paper forms)– go to next station:

• Move according to ascending numbers: If you started at number 26, your next station is number 1, and so forth.

• follow direction of arrows on the floor

• 9.08/13.08: Third whistle: – start working at your second station

• 9.15/13.15: 4th whistle: – stop working, leave for next station etc

Between work stations: 1 minute to rest/change room before next station

• 1 minute break before next whistle:– Go to next task– Stand with back to task until next whistle

• Exception: some rooms with closed doors may have short information/instruction on door and you use part of the 1 minute break to read this. Enter the room at next whistle (you then have 7 min to perform the task)

• 12.27/16.27: – LAST whistle (double sound): exam over– Groups 1+ 2: Move to assembly room at once, stay there until the next

two groups (3+4) have started

• Students or teachers are not allowed to remove any test material from the exam rooms

Scoring system of exam

• Each station:– Same scoring system for all students

– Examiners use a standardized, predesigned scoring system

– A station constitutes 1/24 of total score (24 stations)

– Questions/tasks in one station may be weighted differently according to importance

– At OSCE stations:

• Examiner marks:

– ”failed/passed” etc for each task

– a ”global score”: e.g. Excellent, good, borderline, poor (not passed), very poor (not passed)

Passing limits

• To pass the test: 50% correct score totally (mean of the 24 stations)

• as well as 50 correct score for each of the 4 subjects:– Ped (mean of 9 stations)– Obst/gyn (mean of 9 stations)– Pathology (mean of 2 stations)– Anatomy/physiology (mean of 4 stations)

• What are global assessments at OSCE stations used for?– Intern evaluation for exam committee:

• Correlation global score and percentage score? (does excellent performance give a high score, do students below 50% score poor globally etc)

When will you know your result?

• Answer forms corrected by teachers on test day (14.01)– Plotted answers electronically controlled by 16.01.08

• Exam committee meets with the class to receive feedback the day after exam: 15.01: 13.30-15.30

– Each station is discussed, the students will evaluate the exam (orally and scoring: ”global assessment”)

– Individual students results are not known or given

• Exam committee will meet 19.01.08 – Reevaluate exam forms of students not passing exam

• Also by external exam sensor

• Individual results mailed to each student within few days – After 19.01.08

If you do not attend ordinary exam 14.01.2009 or fail?

• Students who do not have a legitimate reason for being absent from an examination are not allowed to attend the re-sit examination, and will be transferred to the following class.

• The following reasons qualify for a postponed examination: – a) The student falls ill prior to the examination (this must be confirmed by a written letter

from a doctor) – b) The student falls ill during the examination (the students must immediately contact the

Student Health Service at Blindern) – c) Students who have not passed the previous examination

– d) Other important reasons: for example, death in the immediate family

• Resit exam: 24th of February 2009– Oral (At the same level of difficulty as the station exam)– If failed station based exam:

• retested in the 1-2 subjects that failed the 14th of Januar• If failed 3-4 subjects: all 4 subject will be retested

• If do not attend resit exam, or fail:• New ordinary station based exam in June 2009

All students are offered station based examination training

prior to ordinary exam

• December: 1st, 3rd and 4th

GOOD LUCK TO ALL!