Teaching and assessment of core residency competencies by Ophthalmic Clinical Evaluation Exercise (OCEX)
Journal Title: Journal of Education Technology in Health Sciences - Year 2018, Vol 5, Issue 3
Abstract
Introduction The Ophthalmic Clinical Evaluation Exercise OCEX checklist is like miniCEX developed for ophthalmology by American Board of Internal Medicines Clinical Evaluation Exercise It is a validated checklist used to observe residentpatient interactionsMost of the assessments during residency program are based on cognitive domain and lack psychomotor and affective domain The present study assessed the utility of OCEX as a learning and assessment tool for ophthalmology residentsMaterial and Methods This study was carried out in ophthalmology department of NKP SIMS LMH Nagpur for a period of six months It was a Quasi Experimental Before and after study Seven ophthalmology residents second or third year of residency participated in the study Each resident had three OCEX encounters four weeks apart over the period of three months Two faculty members were assessors for OCEX encounters Data was collected on interview skills clinical examination interpersonal skills professionalism and case presentation The performance was rated and feedback was shared with resident after every encounter Results On analysing the results it was found that there was a significant difference in the performance of residents between initial and final OCEX encounter Statistical significance was measured using Friedman ANOVA test for difference in mean performance score between initial and final encounter Faculty and students had good satisfaction with OCEX system of learning cum assessment toolConclusion The present study demonstrated that OCEX leads to clinical competency improvement in ophthalmology residents by providing critical formative feedback immediately after the encounter The resident feedback towards OCEX was favourableKeywords OCEX Ophthalmology Residents Assessment tool Competency
Authors and Affiliations
Rekha Khandelwal, Bijlani Madhavi, Raje Dhanajay
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