Hematology OSPE In The First Year MBBS Curriculum - A Feasibility And Acceptability Study.

ABSTRACT

Abstracts Background and Objectives: The use of OSPE (Objective Structured Practical Examination) for formative assessment has great potential as the learners can gain insight into the elements making up their competencies as well as ongoing feedback on personal strengths and weaknesses. The first year MBBS students are required to perform one hematology practical during university exams (Maharashtra University of Health Sciences). One of the important practical, Differential Leucocyte Count (DLC), was therefore chosen to introduce the OSPE pattern in hematology assessment and study its acceptability and feasibility. Methodology: The study was conducted in the Department of Physiology. 100 students were introduced to OSPE by a short lecture and a role play. Seven important steps (skills) of the DLC practical were assessed. Feedback from students was taken by a questionnaire and from faculty members and laboratory assistant by interview. Results: More than 90% of the students accepted OSPE in terms of learning the steps of the practical, clinical relevance and fairness in assessment. However, majority of students felt that the physical and mental effort needed was greater. The faculty commented favourably on the objectivity of assessment and potential to give feedback to learners and the support staff commented on greater workload and time needed for OSPE. Conclusion: Our study showed a high acceptability among students and faculty towards OSPE as a fair, objective and unbiased method of assessment compared to traditional method. The resources required, however, were greater. The study highlighted a need for continuous faculty development and increase in human resources to develop a comprehensive OSPE bank in future