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Title of Original article: Assessment of Undergraduate medical students using objective structured clinical examination in General Medicine: Student’s and teacher’s perception


The assessment of clinical learning is important in general medicine. The Medical Council of India emphasizes the importance of accurately assessing the competency of medical students [1] . Miller provides a conceptual framework for assessing clinical competency. [2].Miller’s pyramid of clinical competency consists of ‘know’ and “know how” at base and “show how” and ‘does” at apex. The traditional tools for assessment of medical students have mainly consists of written exams, bedside viva and clinical case presentation. To obviate the drawback of conventional clinical evaluation, OSCE was first introduced by Harden in 1975, as a more objective, valid and reliable tool of assessment [3]. Objective Structured Clinical Examinations (OSCEs) have become one of the most widely used methods of assessing aspects of clinical competency in healthcare education. This method of assessment was originally developed in order to address the unreliability and lack of general ability of traditional forms of clinical assessment such as the long case [4]. The overarching philosophy in OSCEs is that all candidates are presented with the same clinical tasks, to be completed in the same timeframe and are scored using structured marking schemes. Compared to the long case, OSCEs reduce bias relating to the type of clinical case selected and who performs the assessment. Ideally the only variance in an OSCE should be the candidate’s performance. Objective structured clinical examination is meant to test the “show how” level of Miller’s pyramid [4].Objective structured clinical examination has been by and large used as an assessment tool for formative assessment of undergraduate medical students at few Centre [5,6,7].


The aim of this study was to introduce the newer method of assessment Objective Structured Clinical Examinations (OSCEs) which can assess the student's all three domain i.e. cognitive, psycho-motor and affective.

The objective of this study was to assess the perception of the students and faculty members about Objective Structured Clinical Examinations (OSCEs) in General Medicine.


After obtaining permission from ethics committee this cross sectional study was conducted in department of General Medicine

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