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Tim Cappelli<br />

at a time and increasing the possibility for incorrect data entry. Feedback from stakeholders indicated<br />

that interaction with the small screens would be difficult for examiners.<br />

Further, a review of the digital pens and sensor solution suggests that, whilst extremely useful for<br />

capturing notes, this approach would be problematic for forms such as the marking sheets. It would<br />

be very difficult to ensure that the student and OSCE data were correctly matched, to verify that the<br />

marks were as intended or to easily compile the marks into a global spreadsheet for analysis.<br />

Removal of these options left the comparison of hand-held devices such as Tablet PC, Netbook or<br />

iPad systems with the digital pen and digitised forms systems. An analysis of both these approaches<br />

against the objectives of the pilot revealed that all these technologies could potentially achieve the<br />

objectives. Hence, the choice of technology rested on which offered the cheapest and most practical<br />

solution. Each approach was assessed against the set of criteria above and the results are shown in<br />

Table 1 below.<br />

Table 1: A comparison of touch based devices with digital pens<br />

Criteria Tablet PC based solution<br />

Handheld device with electronic<br />

forms software on the client and/or<br />

server. Examiner interacts with the<br />

Data security<br />

Performance<br />

Connectivity<br />

Data integrity<br />

Scalability<br />

Human<br />

Computer<br />

Interaction<br />

Training<br />

Robustness<br />

device with stylus and/or finger<br />

Data can be cached securely on the<br />

local device and transmitted or<br />

downloaded in encrypted format<br />

Data can be captured locally on the<br />

device without the need for<br />

connection to the network. Devices<br />

generally reliable but are at risk from<br />

battery or other failure<br />

Data can be stored on the local<br />

device and transmitted or<br />

downloaded when possible.<br />

Data can be stored on the local<br />

device and could be checked on<br />

each device, or downloading to a<br />

local PC prior to transmitting to<br />

Central Office for collation<br />

Scaling to all base hospitals would<br />

require the purchase of 16x4 (64)<br />

devices with sufficient reserves as<br />

back up<br />

Touch devices are dependent on the<br />

software that presents the form. The<br />

software could be designed to be<br />

intuitive and allow for corrections,<br />

etc.<br />

Some training would be required for<br />

any examiners unfamiliar with touch-<br />

based technologies.<br />

The devices tend to be reliable<br />

though a major device failure that<br />

results in all data loss cannot be<br />

ruled out.<br />

Set up Costs Cost per device: £600+<br />

Software: £20k +<br />

Licence cost (per device): £180<br />

Maintenance<br />

Costs<br />

Training costs: £3500<br />

Ongoing support: £2500<br />

Forms cost: £0<br />

Digital Pen based solution<br />

Digital pens and digitised forms. Forms<br />

management software on the server. Examiner<br />

interacts with the system with the pen and paper<br />

in the same way as currently<br />

Data can be cached securely on the local device<br />

and transmitted or downloaded in encrypted<br />

format<br />

Data can be captured locally on the device<br />

without the need for connection to the network.<br />

Devices generally reliable but are at risk from<br />

battery or other failure, though the use of hardcopy<br />

forms ensures the test can continue and<br />

data captured later.<br />

Data can be stored on the local device and<br />

transmitted or downloaded when possible.<br />

Data can be stored on the local device and could<br />

be checked by downloading to a local PC prior to<br />

transmitting to Central Office for collation<br />

Scaling to all base hospitals would require the<br />

purchase of 16x4 (64) devices with sufficient<br />

reserves as back up<br />

The pens look and feel like an ordinary pen and<br />

are therefore already familiar to examiners. The<br />

software that comes with the pen covers the<br />

required features.<br />

No training should be required, but rather a<br />

highlighting of the pen’s features in the current<br />

briefing<br />

The devices tend to be reliable though a major<br />

device failure that results in all data loss cannot<br />

be ruled out. Fortunately, the continued use of<br />

hard-copy forms and ink with this approach<br />

provides a back-up without further investment.<br />

Cost per device: £120<br />

Software: £500<br />

Licence cost (per device): £315<br />

Training costs: £0<br />

Ongoing support: included<br />

Forms cost: £250<br />

On the basis of the data gathered, the digital pen based solution appeared to offer a number of<br />

advantages, namely:<br />

94

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