[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-317237-105":59,"doc-detail-317237-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","objective-structured-clinical-exams-a-critical-review","Objective Structured Clinical Exams: A Critical Review","","Objective Structured Clinical Exams (OSCEs) were introduced in the 1970s and became part of the US Medical Licensing Examination for all US medical graduates. Despite broad acceptance, evidence does not clearly establish OSCE superiority over traditional assessment methods in reliability or validity. Valid and defensible use requires careful attention to test content, test design, and implementation, particularly for high-stakes decisions. The paper reviews OSCE strengths and weaknesses and highlights key planning issues for medical educators.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/objective-structured-clinical-exams-a-critical-review/317237/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/objective-structured-clinical-exams-a-critical-review/317237.png","ImageObject",300,407,{"name":92,"@type":93},"River Wang","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-16","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"OSCEs are widely used, but what debate is discussed about their value?","Question",{"text":112,"@type":113},"The article notes debate over OSCE testing value compared with more traditional methods, and a reliability/validity review does not clearly show OSCE superiority.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What factors must be considered to use OSCEs in a valid and reliable way?",{"text":117,"@type":113},"It emphasizes attention to test content, test design, and implementation factors, especially when results inform high-stakes decisions.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the OSCE method assess clinical competence in practice?",{"text":121,"@type":113},"OSCEs use multiple stations where examinees perform clinical tasks such as interpretation, history taking, physical examination, patient education, and order writing, often with standardized patients and additional evaluation methods.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},317237,1790091958,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},1099514067438,"https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542","574 September 2008 Family Medicine  \nSpecial Article    \nObjective Structured Clinical Exams: A Critical Review  \nJohn L. Turner, MD; Mary E. Dankoski, PhD  \nSince their inception in the 1970s, objective structured clinical examinations (OSCEs) have become popular and now are part of the US Medical Licensing Examination for all US medical graduates. Despite general acceptance of this method, there is debate over the value of OSCE testing compared to more traditional methods. A review of reliability and validity research does not clearly show superiority of OSCE testing. To use OSCEs in a valid and reliable way, attention must be paid to test content, test design, and implementation factors, especially when the results will be used for high-stakes decision making. While questions remain around the application of OSCE testing, there are also both known and hidden benefits to students, faculty, and organizations that use OSCEs. This paper reviews the pros and cons of the OSCE method and outlines important issues for medical educators to consider when planning to use OSCEs in their programs.  \n(Fam Med 2008;40(8):574-8.)  \nMethods for student assessment in medical education has changed over the past 50 years. We have moved from a standard of pen-and-paper tests of knowledge and facts toward a more complex system of evaluation.1 Medical students today are tested on knowledge, attitudes, and skills across multiple settings and methods, which are often triangulated to reach summative decisions. Current educational and assessment strategies include problem-based learning, computer simulations, faculty global ratings and checklists, standardized patients, and team-based learning.2  \nThe standards and processes of licensure and certification have also followed these changes. Current applicants are tested in various proficiencies through innovative methods that were unheard of just a few decades ago. Needless to say, this complex evolution has not proceeded without controversy.  \nThese developments in medical education and assessment must be viewed in the historical context of social changes and advancements in educational theory outside of medicine. The three decades from 1965–1995 saw tremendous growth in innovative educational efforts aimed at new content areas, with a major focus on skill acquisition. When Miller introduced his pyramid of educational objectives,3 it joined Bloom’s cognitive taxonomy,4 and these stood as the main framework for educational thought in medicine entering the 1990s.  \nFrom the Department of Family Medicine, Indiana University.  \nCurricular goals and objectives were organized around these hierarchical scaffolds, and student assessment mirrored the proposed developmental steps.  \nNew strategies for assessing learning and competence in these “higher” areas then began to appear in the literature. Societal changes also reinforced the need for real-world testing in medical education, as patients and payers began to question the traditional self-ratification of medical professionals, asking for more evidence of physician training and expertise, and the shift toward patient rights began to emerge. In the midst of this context of medical education transition, Harden first conceptualized the objective structured clinical examination (OSCE) in 1975.5  \nCurrent State of OSCE Testing  \nDeveloped to assess the complex notion of clinical competence, the OSCE uses multiple stations with examinees performing various clinical tasks at each station. Tasks may include test interpretation, history taking, physical examination, patient education, order writing, or other activities. Over time, most OSCEshave come to rely heavily on standardized patients (SPs). SPs are individuals trained to portray a patient with a particular disease or condition, thus affording hands-on testing of students. The OSCE method, as used today, has evolved into a flexible testing approach that can incorporate SPs as well as observer ratings, short wr","cbCaiuFK3tcMEv9v","https://ap.wps.com/l/cbCaiuFK3tcMEv9v","pdf",434653,"English","# Objective Structured Clinical Exams: A Critical Review\n## Current State of OSCE Testing","[{\"question\":\"OSCEs are widely used, but what debate is discussed about their value?\",\"answer\":\"The article notes debate over OSCE testing value compared with more traditional methods, and a reliability/validity review does not clearly show OSCE superiority.\"},{\"question\":\"What factors must be considered to use OSCEs in a valid and reliable way?\",\"answer\":\"It emphasizes attention to test content, test design, and implementation factors, especially when results inform high-stakes decisions.\"},{\"question\":\"How does the OSCE method assess clinical competence in practice?\",\"answer\":\"OSCEs use multiple stations where examinees perform clinical tasks such as interpretation, history taking, physical examination, patient education, and order writing, often with standardized patients and additional evaluation methods.\"}]","Objective Structured Clinical Exams: A Critical Review | PDF",1789930445,13]