THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION FOR CLINICAL SCILLS ASSESSMENT IN INTERNAL MEDICINE

Abstract

The main problem of higher education in the 21st century is the insufficient practical training of graduates. This problem is acute in all economic spheres of activity, but is especially relevant and vital for medical education. Bedside teaching has been and remains the most important element of medical education, but it has a significant drawback: the patient's rights to receive quality medical care may be violated. Secondly, as a rule, the teacher does not control this process sufficiently. As a result, there is no certainty that the student has mastered the correct technique, and not its similarity. The OSCE (objective structured clinical examination) technique, which has been conducted at the Internal Diseases Propaedeutics Department West Kazakhstan Marat Ospanov Medical University more than 15 years, allows you to make the process of mastering practical skills structured and controlled for. This clinical discipline is the best suited for the methodology used, since the educational context of the discipline is initially structured into parts. The entire patient examination technique is studied sequentially by system (module) (“respiratory system”, “cardiovascular system”, “digestive system”, “genitourinary system”, etc.) Each system, in turn, is also studied sequentially: questioning, inspection, palpation, percussion and auscultation. At the end of each module, practical skills are assessed using the OSCE method; at the end of the course, an annual certification of the practical skills of 3rd year General Medicine students is carried out. The OSCE procedure provides for the organization of so-called stations - classrooms where a specific skill is tested (questioning, examination, palpation, percussion, auscultation).