Transcript Presented by - Birmingham City University

Evaluating student experiences when
undertaking an objective structured clinical
examination (OSCE) within the Faculty of Health
Presented by
Dr. Vivek Indramohan
Faculty of Health / CHSCR
BCU
Presentation
1.
2.
3.
4.
5.
6.
What is an OSCE? Why and where is it used?
So what is the problem?
Deciding the solution or the right pathway !
Outcomes / Impact
Moving ahead in the right direction – The AAP !
Summary
Objective
Structured
Clinical
Examination
(Skills and
Physiology)
Nursing
Birmingham City University
Faculty of Health
Allied Health
Professionals
What is the problem???
Both from an
assessor and
tutor point of
view
• Cognitive and behavioural performance
of 1st year level 4 nursing students in
their assessments, etc.
• Various
students
anecdotal
as
in
evidences
terms
of
from
students
reporting problem (s) at their end.
• Their general outlook following the recent
assessment and
• Other discussions initiated by students
during the lectures, etc.
Following a discussion with my students, the evidences
were unidirectional and leading to:
• Nervousness and extreme
panic conditions leading to 1.
Difficulty in
accomplishing certain
skills – Manual Blood
Pressure
measurement.
2.
Problem with oral
examination.
3.
Memory issues with
traditional students.
Way to approach the problem identified !!!
• What does literature say regarding
this?
• Discussion with peers, line manager,
other senior members of staff and
Associate Dean so as to know what
exists and doesn’t exists within the
Similar issues seem to
have been identified
with respect to NSS
previously as well !!!
faculty.
What next?
Today’s topic for presentation
It’s a 2 phase pathway evaluating student experiences at different stages.
First stage – A focus group based one.
Second stage – A questionnaire based one.
The first phase
feeds into the
second.
Why was the pathway designed in this way?
• Primary reason – To make the entire
problem look a bit more formal among
students.
• Cohort size (circa 460) of the first year
students.
• To involve students for students – ‘SAP’
•
This will enhance the development of the
questionnaire to be used in the second
phase and
• Finally …
Making it happen !!!
Should
I have
to jump
the
Well,
You
have no
choice
!!!
hoop ?
1. Stage 1 – Identify potential / suitable collaboration.
2. Stage 2 – Apply for funding.
Why ?
Due to the cross-school
nature of the problem.
Why? Because you need
to pay for student’s time !
3. Stage 3 – Apply for Faculty of Health Ethical approval and Indemnity.
Why ? Because the study
involves students, emotions and
may be sensitive issues.
Any other alternatives ???
4. Stage 3.1 – Obtain ‘Ethical approval and Indemnity’.
5. Stage 4 – Recruitment : Recruit phase 1 student volunteers
Cont.….
6. Stage 5 – Conduct the study
7. Stage 6 – Analyse the results
8. Stage 7 – Disseminate the findings
9. Stage 8 – Submit an interim report to the faculty.
10. Stage 9 – Design the questionnaire for Phase 2
11. Stage 10 – Make sure its all ethical again.
12. Stage 11 – Conduct the phase 2 on obtaining the approval
13. Stage 12 – Analyse the results
14. Stage 13 – Disseminate the results
15. Stage 14 – Submit the project completion report to the faculty.
16. Stage 15 – Evaluate the impact.
Which stage am I at ?
Stages 1 to 3.1 – 1. Project team – Developed
2. Funding – Secured £566
3. Ethical Approval and Indemnity – Obtained
Currently in stages 4 to 7 – Proposed methodology is to undertake 4 focus groups (23
students) covering the four nursing fields – Mental Health, Adult, Child and Learning
disability.
1. Recruited 4 Mental Health students via email invitation and participant information sheet
and pre-piloted the first focus group discussion (in May’13) covering 10 questions on
the student experiences prior to, during and following a recent OSCE (Feb’13) that they
had undertaken.
2.
Positive feedback obtained from students following the pre-pilot discussion.
3.
3 more focus groups to be conducted in Oct’13 – As soon as students are back from
their placements.
Stages 8 to 15 – To be undertaken as part of phase 2 following Phase 1
Outcomes of the pre-pilot discussion…
Following the pre-pilot discussion with ‘Mental-Health’ nursing
students, important issues leading to increased stress and anxiety
among students were identified…
1. Insufficient skills practicing sessions – ‘Vital source of
nervousness’.
2. Need for additional interactive learning resources for physiology
3. Issues around OSCE Management and
4. Educational background of students.
However the validity of these will depend on the outcomes of the
remaining focus groups yet to be conducted.
Impact of this study …
• Early to comment on this.
• Two possible outcomes – All the students will either have similar
issues or they will not have any such issues.
• However, if there are issues around the areas mentioned above then
appropriate R&D will be initiated with necessary approval and
regulations in place.
• This in turn will improve the student satisfaction and the overall NSS
outcome and
• Might even eventually allow me to attract external funding / grants.
How does this matter to AAP programme and
today’s presentation ???
• The time when this pathway was to be decided and to be initiated
fitted well with the commencement of AAP programme.
• The periodic ALS meetings were indeed complimenting each and
every stage of my chosen pathway and the peer feedback allowed
me to decide if I was on the right track or not.
• The AAP programme was indeed a motivating factor for me to keep
driving the idea generated and lead to the destination using the
chosen pathway.
• This in turn has provided me an opportunity to further develop my
professional practice, share my experience and disseminate a part of
my findings amongst all of you today…
In summary…
• I identified a problem at
the
students
end
and
decided into dwell deeper
into it using this loop.
• Despite knowing the hoops
that I had to jump, I used
the
same
opportunity
as
for
an
my
professional development
and
• I used AAP as a binding
and motivating factor to
accomplish my objectives
and reach the final goal.