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Harnessing insights from an activity system – OSCEs past and present expanding future assessments

Bibliographic Data

ID21448337
AuthorsHelen Reid (0000-0001-8530-1766, Queen's University Belfast), Gerard Gormley (0000-0002-1701-7920, Queen's University Belfast), Tim Dornan (0000-0001-7830-0183, Queen's University Belfast, corresponding author), Jennifer L Johnston (0000-0002-3999-8774, Queen's University Belfast)
Year2021
Volume43
Issue1
Pages44-49
Publication date2021-01-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Teacher (JOURNAL)
Journal identifiersISSN: 0142-159X • E-ISSN: 1466-187X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0142159x.2020.1795100
PMID32735153
OpenAlexW3044888837
LanguageEN
Citations received7
References cited18

Objective Structured Clinical Examinations (OSCEs) are a dominant, yet problematic, assessment tool across health professions education (HPE). OSCEs' standardised approach aligns with regulatory accountability, allowing learners to exchange exam success for the right to practice. We offer a sociohistorical account of OSCEs' development to support an interpretation of present assessment practices. OSCEs create tensions. Preparing for OSCE success diverts students away from the complexity of authentic clinical environments. Students will not qualify and will, therefore, be of no use to patients without getting marks providing evidence of competence. Performing in a formulaic and often non patient-centred way is the price to pay for a qualification. Acknowledging the stultifying effect of standardising human behaviour for OSCEs opens up possibilities to release latent energy for change in medical education. In this imagined future, the overall object of education is refocused on patient care

Accountability · Competence (human resources) · Health care · Interpretation (philosophy) · Medical education · Political science · Clinical Reasoning and Diagnostic Skills · Computer Science · Innovations in Medical Education · Medicine · Psychology · Radiology practices and education · Social Psychology

  • Implementation of virtual OSCE in health professions education

    Open Access•See Chai Carol Chan, George Choa et al.•Medical Education•2023

  • Patient involvement in assessment

    Open Access•Bunmi S Malau-Aduli•Medical Education•2022

  • Quality Management of Objective Structured Clinical Examinations at a Multicampus Nursing College

    Thandolwakhe Nyangeni, Dalena van Rooyen et al.•Journal of Nursing Education•2023

  • Destabilising institutions to make healthcare more equitable

    Tim Dornan, Gráinne P Kearney et al.•Medical Teacher•2021

  • Embracing ambiguity

    Alan Bleakley•Medical Teacher•2021

  • OSCEs – a sharp knife, not a magical bullet

    Andrew Ying, Carina Mouritsen-Luxhøj•Medical Teacher•2021

  • Acting wisely in complex clinical situations

    Open Access•Tim Dornan, Ciara Lee et al.•Medical Teacher•2021

  • Qualitative Data Analysis Using a Dialogical Approach

    Paul Sullivan•Qualitative Data Analysis Using a…•2012

  • A model for programmatic assessment fit for purpose

    Cees Van Der Vleuten, C P M van der Vleuten et al.•Medical Teacher•2012

  • Assessment of clinical competence using objective structured examination.

    Open Access•Ronald M Harden, Mark Stevenson et al.•BMJ•1975

  • The structure of scientific revolutions

    Dennis Holland, Thomas S Kuhn•La Structure des révolutions…•1976

  • Profession of medicine

    Eliot Freidson•Profession of medicine•1970

  • Leadership in interprofessional healthcare teams

    Lara Varpio, Pim W Teunissen•Medical Teacher•2021

  • Embracing ambiguity

    Alan Bleakley•Medical Teacher•2021

  • Using activity theory to transform medical work and learning

    Yrjö Engeström, Eeva Pyörälä•Medical Teacher•2021

  • Cultures of caring

    Open Access•Dawn Goodwin•Social Studies of Science•2018

Unique citing works7
Citations per year1,4
Citation span2021 - 2023 (3)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 7

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