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- Brian Hodges.
- Department of Psychiatry, Wilson Centre for Research in Education, University of Toronto, Toronto General Hospital, Ontario, Canada. brian.hodges@utoronto.ca
- Med Educ. 2003 Dec 1; 37 (12): 1134-40.
BackgroundIn 1979, Harden described the first objective structured clinical examination (OSCE). Harden's OSCE dramatically changed the assessment of professional competence because it used actors and choreographed scenarios to evaluate the performance of professional behaviours.AnalysisBecause of the intense focus on performance, OSCEs have had a powerful influence on doctor training and practice. However, the immediate psychometric characteristics of OSCEs rather than their performance effects have been the subject of most research.ConclusionThe time has come to undertake a sophisticated sociological investigation of how OSCEs affect medical practice, including the ways in which they shape doctor interaction with patients, families and other health professionals.
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