Abstract
In this issue, Whelan et al. (1) address the question of who (standardized patients or physicians) should grade the performance of students taking Objective Structured Clinical Examinations (OSCEs). This is an interesting issue that has educational as well as socioeconomic dimensions. The last three decades of the 20th century were characterized by a significant shift in the way physician competence in Anglo-Saxon countries has been defined and assessed. The adoption of performance-based frameworks, such as the influential "Millers Pyramid" (2), placed more emphasis on what physicians could do rather than what they know. During the same period, the influence of medical educators with training in psychometrics led to a much greater emphasis on standardization, reliability, and validity in assessment. Together, the adoption of performance and psychometric discourses created a fertile ground for new assessment technologies such as the OSCE. No longer a novelty at the end of the first decade of the 21st century, OSCEs have been widely implemented by health professions around the world, including psychiatry (3). Mental health professionals need no convincing that one of the core competencies tested in an OSCE, or in any performance-based examination for that matter, is communication skills. However, whether communicationIf you're having problem loading pages
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