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Journal of Medical Education

A Trial of the Objective Structured Skill Examination in PBL Tutorial Course

Abstract

Kinki University has been educating the medical students with PBL tutorial system. At year two, the structure and function units are scheduled around the organ systems. Students learn the function and structure of one organ a week. During each week, PBL tutorials, lectures by teaching staff, and students practice, which are related to the organ in question, were performed. We consider practical (laboratory course) a very important learning dorum to understand medical subjects, because students will experience many medically related skills. However, in the practical, students' participation is often not evenly distributed. To reconfirm students' participation in the practical, and to estimate objectively individual student's contribution in a team, we have developed the objective structured skill examination (OSSE). We selected eight structured technical skills: use of clinical centrifuge, proper use of pipette, electrocardiogram recording, determination of urinary specific gravity, measurement of blood pressure, determination of hematcrit value, electroencephalograph recording, and use of oscilloscope. In each station,贠 the order formwas placed on the table and the experimental apparatus necessary for OSSE were set up. After students read the order form, they performed the task according to the order by demonstrating the structured skills. The OSSE scores were strongly correlated with those obtained by the written examination in blood course. Over all, the correlation was 0.493 (p＜0.0001). In sum, we have developed OSSE to objectively assess students' technical skills in a structured manner during a PBL course. As far as we know, the OSSE has not yet been reported.

First Page

409

Last Page

411

DOI

10.6145/jme.200312_7(4).0009

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