To comply with the Postgraduate Medical Education Training
Board and the Royal College of Obstetricians and Gynecologists guidance, the British Society for Colposcopy
and Cervical Pathology (BSCCP) introduced a new assessment
method for certification. The medical education evidence, practicalities, and experience of the BSCCP Objective Structured Clinical Examination (OSCE
) are presented in this article.
The rationale behind the OSCE
has been supported by medical education literature.
The experience of those running the BSCCP OSCE
has been used to provide a theoretical basis for considerations when planning an OSCE
. The BSCCP introduced an OSCE
to confirm competency in performing colposcopy
on completion of training
in the United Kingdom. The content for the OSCE
was defined already in the BSCCP trainees' manual, and training
is delivered locally. Current evidence from medical education research was used to support the introduction of the OSCE
, including the development of a bank of OSCE
questions, the construction of the OSCE
content, and the standard setting of the examination at a level appropriate for completion of training
for both medical and nursing colposcopy
trainees. Examiners were recruited from the society membership and provided with training
. The OSCE
has been run since November 2006 to determine competency and to identify excellence.
The first OSCE
was held on November 23, 2006, and 5 OSCEs have been held to date. One hundred forty-five candidates have sat the examination. The mean pass mark for the examination was 60% (range = 58-63%). The mean pass rate for the examination was 82% (range = 76-90%).
We have developed and run an OSCE
examination for completion of training
in the joint BSCCP/Royal College of Obstetricians and Gynecologists training
program for medical and nursing trainees. This has proved to be feasible, and we are conducting an ongoing evaluation of the reliability, validity, and acceptability of this assessment