抄録
Two trials of the Observational Structured Clinical Examination (OSCE) were conducted at Showa University,in 20051) and 2006.In the 2 nd trial,2 new test stations (for aseptic technique and patient counseling skills) were added bringing the total to 4 test stations.This paper discusses the issues regarding the preparation and implementation of the OSCE,and its secondary effects.We held a one-day training session for new evaluators to prepare them for their task and the results of a survey conducted to determine the effectiveness of the training showed that it had had positive effects such as decreasing anxiety (2.9 points to 2.1 points : 5 points total) and increasing evaluator confidence with regard to dispensing skills,being an evaluator,and giving feedback to students.The one-day training was therefore useful in that it enabled evaluators to evaluate students with confidence.We provided students with audiovisual learning tools to help them prepare for the OSCE and a survey conducted afterwards showed that 80.6 to 89.1% of them felt the tools were very useful.Another survey regarding the effectiveness of the OSCE,which was conducted after their internship,revealed that it was useful to 67.2% as regards aseptic technique,and 45.1% regarding patient interviews,although 75.6% of students thought that there was discrepancy between OSCE and actual practice regarding dispensing procedures.Effective ways of eliminating this discrepancy are urgently needed.
