Abstract
Dr. Loschen is Professor Emeritus, Department of Psychiatry, Southern Illinois University School of Medicine, P.O. Box 19642, Springfield, IL 62794-9642. Key Words: Objective Structured Clinical Examination (OSCE) Standardized Patients Over the past two decades, psychiatric education has changed dramatically. Clerkships and residencies now routinely base the curriculum on stated goals and objectives that are met by means of well-organized clinical experiences and didactic activities. Gone are the days when the trainee served an unstructured apprenticeship, was evaluated by global rating scales, and sat for written exams largely detached from the clinical setting. As the formal curriculum has evolved, evaluation of students' and residents' performance has likewise had to change. One of the major changes in evaluation has been the development of performance-based testing. The landmark article by Hardin and Gleeson (1) outlined the elements of a performance-based examination called the objective structured clinical examination (OSCE). This examination consisted of various stations that required students to perform certain activities determined by previously stated objectives for each of the stations. Students' performance was evaluated on the basis of their ability to carry out these tasks as judged by rating scales, observation by faculty, multiple-choice questions, or performance of otherPreview Only. This article cannot be rented because we do not currently have permission from the publisher.
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