Marwaha, Steven (2011) Objective structured clinical examinations (OSCEs), psychiatry and the clinical assessment of skills and competencies (CASC) : same evidence, different judgement. BMC Psychiatry, Vol.11 (No.85). doi:10.1186/1471-244X-11-85 ISSN 1471-244X.

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Abstract

Background: The Objective Structured Clinical Examination (OSCE), originally developed in the 1970’s, has been
hailed as the "gold standard" of clinical assessments for medical students and is used within medical schools
throughout the world. The Clinical assessment of Skills and Competencies (CASC) is an OSCE used as a clinical
examination gateway, granting access to becoming a senior Psychiatrist in the UK.
Discussion: Van der Vleuten’s utility model is used to examine the CASC from the viewpoint of a senior
psychiatrist. Reliability may be equivalent to more traditional examinations. Whilst the CASC is likely to have
content validity, other forms of validity are untested and authenticity is poor. Educational impact has the potential
to change facets of psychiatric professionalism and influence future patient care. There are doubts about
acceptability from candidates and more senior psychiatrists.
Summary: Whilst OSCEs may be the best choice for medical student examinations, their use in post graduate
psychiatric examination in the UK is subject to challenge on the grounds of validity, authenticity and educational
impact.

Item Type:	Journal Article
Subjects:	R Medicine > RC Internal medicine
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Psychiatry -- Study and teaching, Medical students -- Rating of, Psychiatrists -- Rating of
Journal or Publication Title:	BMC Psychiatry
Publisher:	BioMed Central Ltd.
ISSN:	1471-244X
Official Date:	16 May 2011
Dates:	Date Event 16 May 2011 Published
Volume:	Vol.11
Number:	No.85
DOI:	10.1186/1471-244X-11-85
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	16 December 2015
Date of first compliant Open Access:	16 December 2015

Data sourced from Thomson Reuters' Web of Knowledge

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