Abstract Title
Assessing the Long case based on SLICE (STRUCTURED LONG INTERVIEW AND CLINICAL EXAMINATION); an Action Research Approach

Authors

Rehan Ahmed Khan
Khalid Farooq Danish
Masood Anwar

Theme

Clinical Assessment and the OSCE

INSTITUTION

Riphah International University
Islamic International Medical College

Background
Summary of Work

An action research approach was used(Eizenberg, 1991). Problem of lack of structured examination in long case was identified.(Wass et al., 2001)OSLER was found to not cater for the needs in the local context. It was felt that more time was required to train the examiners to conduct OSLER and complete the long case assessment in specified time. Hence focus group discussion and interviews were held with the senior faculty and medical educationists to come with a modified tool named SLICE. (Figure 1)

SLICE was developed after Focus group discussion with medical educationists and senior professors who were also examiners for the long case. SLICE was emailed to 10 medical educationists and their  feedback was collected for further modification and improvement.

The instrument was used in both formative and summative assessment of final year MBBS medical students. In case of formative assessment, it was used to assess long case of final year students at the end of their surgical rotation and immediate feedback was provided based on this tool whereas in summative assessment, it was implemented to assess long case at the end of complete rotations in Surgery and allied , Medicine and Allied, Gynaecology and Obstetrics and Paedetrics.

The process of development of the tool is explained in the following figure:
 

Figure 2


Summary of Results

 Ththe [aishf THe the

There are 2 main components of the result.

1. Development of the tool which is explained in Figure 2.

2.Implementation of the tool in Islamic International Medical College

  

SLICE was found to be feasible, valid and reliable tool.

Mean completion time of assessment was 12 minutes.

It was also found to be easier to be taught to the examiners.

Though content validity was rated low by the examiners, the face and

construct validity were high.

Cronbach alpha was found to be 0.84.  


 

STRUCTURED LONG INTERVIEW and CLINICAL EXAMINATION (SLICE)

 

 Student Name:                                                     Student Roll no:

 

 MARKS AND TIME DISTRIBUTION

Task

Marks

Time in minutes

HISTORY PRESENTATION

20

3

PERFORMING EXAMINATION

15

4

DEFENDING PROVISIONAL DIAGNOSIS

15

2

DEFENDING RELEVANT INVESTIGATIONS

15

2

DEFENDING MANAGEMENT

35

5

Total

100

16

 

 

 

 

  

Conclusion

The good points

  • Well structured
  • Feasible
  • Reliable
  • Good construct validity
  • Examiner training easy
  • Conformity with clinical context

 

Points which need improvement 

  • Validity and reliability to be tested at national and international level

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Take-home Messages

SLICE has proven to be a very good tool to assess long case in our local settings. 

It showed better feasibility and applicability in the local context for undergraduate medical students.

Due to the simplicity in marking in SLICE, e-SLICE is the next step forward.


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Acknowledgement

We are thankful to our senior and junior colleagues who helped us in designing this tool.

We are very grateful to our medical faculty in implemenation of SLICE.

References
Background
Summary of Work
Summary of Results
Conclusion
Take-home Messages
Acknowledgement
References
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