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Structured assessments of clinical competence
Book chapter

Structured assessments of clinical competence

Katharine AM Boursicot, Trudie E Roberts and William P Burdick
Understanding Medical Education, pp 293-304
22 Oct 2013

Abstract

clinical competence objective structure clinical examinations (OSCEs) OSLER structured assessments
In this chapter, the authors consider assessments of clinical competence to be measures of what doctors can do in controlled representations of professional practice, i.e. under examination conditions. The authors restrict the use of performance assessment to measurements of what doctors do in their professional practice. They consider competency‐based assessments to be those assessments undertaken outside the ‘real’ clinical environment and performance‐based assessment to be those administered within the natural clinical setting. The chapter reviews the more ‘classical’ long‐ and short‐case formats. It also describes newer formats such as the objective structure clinical examinations (OSCEs) and objective structured long case examination record (OSLER). It discusses the stages of planning and implementing OSCEs. The chapter offers practical advice on blueprinting, station development, examiner training, simulated/standardized patient training, organizational issues and standard setting.

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8 citations in Scopus

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