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Tim Cappelli<br />

In order to determine this process, the team carried out a series of interviews with each of the relevant<br />

stakeholders and in doing so also identified issues inherent in the process that stakeholders wanted<br />

to improve or eliminate. From this a set of key objectives were articulated, namely:<br />

Provision of faster results and feedback to students.<br />

Reduction of the opportunities for errors in data handling and erroneous results.<br />

Provision of timely textual feedback to all students.<br />

Reduction of time-pressured manual handling of the marking forms.<br />

Less labour-intensive and faster preparation of forms for the different OSCE exams with less<br />

manual form preparation.<br />

More efficient and faster preparation and transmission of data for analysis by the different roles<br />

involved in administration, management and quality assurance.<br />

3. The solution<br />

According to Love and Cooper (2004), assessment systems should consider the interface,<br />

accessibility, security, reliability and the information to be captured. In considering a potential<br />

technology solution, it was therefore important to consider these issues alongside the system’s ability<br />

to achieve the pilot’s objectives. In particular, the following features where considered crucial:<br />

Data security: transmission of data must be secure and storage of exam scenarios, forms and<br />

results is also secure.<br />

Performance: OSCE exams run on a tight time schedule. The system must not introduce risk of<br />

time delays due to slow response times.<br />

Connectivity: the system must offer solutions for the communications infrastructure that is in<br />

place in the hospitals. Wireless internet availability or provision for wired networks cannot be<br />

guaranteed.<br />

Data integrity: it must be ensured that no data is lost in transmission and that there can be no<br />

mix-up between fields in a form or between forms. It would be an advantage if mandatory fields<br />

could be checked in real-time so that only complete forms are submitted to the system.<br />

Scalability: the system must be able to support the volume of forms needed in the annual cycle<br />

of OSCE exams.<br />

Human Computer Interaction: the examiners’ interaction with the system must be intuitive and<br />

not alter the marking process for the examiner. For example, the examiner must be able to amend<br />

his marks on a form prior to submission.<br />

Training: the device chosen must also be intuitive enough to avoid the need for lengthy or<br />

expensive training for examiners.<br />

Robustness: the chosen technology must be robust and reliable, with a failsafe backup system,<br />

as any delay in the OSCE exam is untenable.<br />

When the team looked at potential technology, there emerged two principal approaches to supporting<br />

the OSCE process. These were:<br />

Hand held devices together with an electronic forms software application. The types of devices<br />

considered were:<br />

Mobile phone<br />

iPad<br />

Tablet PC<br />

Netbooks<br />

Digital Pens together with form management software.<br />

Digitised forms and digital pens<br />

Digital pen and sensor with non-digitised forms<br />

Preliminary research into the technologies and their suitability to support the above process indicated<br />

that this list could be narrowed down still further. The consensus was that the screens available on<br />

mobile phones are too small for marking sheets, allowing examiners to see only a fraction of the sheet<br />

93

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