Introduction and preparation of an objective structured clinical examination in family medicine for undergraduate students at the University of Split

Irena Zakarija-Grković, Vladimir J. Šimunović


Objective. To describe the implementation of the first ObjectiveStructured Clinical Examination (OSCE) conducted at the Universityof Split School of Medicine. Methodology. Twenty-one clinical skillsrelevant to general practice were selected and described in a Handbookfor students. Assessment sheets were created. After performingan inventory of available resources, teaching models were purchasedand practical classes arranged. A Centre for Clinical Competencieswas established, where the first OSCE at the University of Split Schoolof Medicine was conducted in March 2011. Results. Attendance bystudents to the practical classes and the OSCE was 100%. Positivefeedback was received by students, who requested extra lessons inclinical skills training. Despite not setting a minimal pass rate, the averageOSCE score was 27 out of 30 points. Conclusion. Organizationof clinical skills training and assessment was demanding, requiringmany hours of preparation and numerous staff involvement but wasultimately very rewarding. Both practical classes and the OSCE werevery well received by students, who seemed to be empowered by thisexperience.


Medical education; Clinical skills; Assessment; Objective structured clinical examination

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Harden RM, Stevenson M, Downie WW, Wilson GM. Assessment of Clinical Competence using Objective Structured Examination. Br Med J. 1975;1:447-51.

Harden RM, Gleeson FA. Assessment of clinical competence using an objective structured clinical examination (OSCE). Med Educ. 1979;13(1):41-54.

Cusimano MD, Cohen R, Tucker W, Murnaghan J, Kodama R, Reznick R. A comparative analysis of the costs of administration of an OSCE (objective structured clinical examination). Acad Med. 1994;69(7):571–6.

Martin IG, Jolly B. Predictive validity and estimated cut score of an objective structured clinical examination (OSCE) used as an assessment of clinical skills at the end of the first clinical year. Med Edu. 2002;36:418–25.

Matsell DG, Wolfish NM, Hsu E. Reliability and validity of the objective structured clinical examination in paediatrics. Med Edu. 1991;25(4):293–9.

McGaughey J. Standardizing the assessment of clinical competence: an overview of intensive care course design. Nurs Critic Care. 2004;9(5):238–46.

Schwartz RW, Witzke DB, Donnelly MB, Stratton T, Blue AV, Sloan DA. Assessing residents’ clinical performance: cumulative results of a four-year study with the objective structured clinical examination. Surgery. 1998;124(2):307–12.

Selby C, Osman L, Davis M, Lee M. Set up and run an objective structured clinical exam. Br Med J. 1995;310(6988):1187.

Townsend AH, Mcllvenny S, Miller CJ, Dunn EV. The use of an objective structured clinical examination (OSCE) for formative and summative assessment in a general practice clinical attachment and its relationship to final medical school examination performance. Med Edu. 2001;35:841–6.

Watson R, Stimpson A, Topping A, Porock D. Clinical competence assessment in nursing: a systematic review of the literature. J Adv Nurs. 2002;39(5):421–31.

Verhoeven BH, Hamers JGHC, Scherpbier AJJA, Hoogenboom RJI, van der Vleuten GPM. The effect on reliability of adding a separate written assessment component to an objective structured clinical examination. Med Edu. 2000;34:525–9.

Hodges B, Regehr G, Hanson M, McNaughton N. Validation of an objective structured clinical examination in psychiatry. Acad Med. 1998;73(8):910-2.

Šimunović F, and Šimunović VJ. Training Clinical Skills in 20th and 21st century: Two Generations and Two Worlds Apart. Part One. Acta Medica Academica. 2009;38:70-6.

Šimunović F, and Šimunović VJ. Training Clinical Skills in 20th and 21st century: A New Paradigm. Part Two. Acta Medica Academica. 2010:39; 45-55.

Šimunović VJ, Hozo I, Rakić M, Jukić M, Tomić S, Kokić S, et al. New Paradigm in Training of Undergraduate Clinical Skills: the NEPTUNE-CS project at the Split University School of Medicine. Croat Med J. 2010;51:373-80.

Šimunović VJ, Županović M, Mihanović F, Bradarić N, Janković S. In search of a Croatian Model of nursing education. Croat Med J. 2010; 51: 383-95.

Marusic M. History of School of Medicine in Split [in Croatian]. In: Jankovic S, Boban M, editors. University of Split, School of Medicine, 1997-2007. Split: University of Split, School of Medicine; 2007. p. 16-35.

Wilkinson T, Newble D, Frampton C. Standard setting in an objective structured clinical examination: use of global ratings

of borderline performance to determine the passing score. Med Educ. 2001;35(11):1043–9.


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