Objective structured clinical examination as an educational initiative for summative simulation competency evaluation of first-year student registered nurse anesthetists' clinical skills

Linda L. Wunder, Derrick C. Glymph, Johanna Newman, Vicente Gonzalez, Juan E. Gonzalez, Jeffrey Groom

Research output: Contribution to journalArticle

1 Scopus citations


The use of simulation to imitate real-life scenarios reaches back many centuries. In the last decade, the use of simulation in healthcare has gained acceptance as a valuable tool for teaching and learning technical and nontechnical skills in healthcare. The use of simulation technology has moved medical education from the standard of pen and paper examinations to the assessment of clinical competency before caring for patients. The old thinking of "see one, do one, teach one" is behind us as healthcare works to create a culture of safety that holds healthcare personnel accountable. A current use of testing clinical competence is the use of Objective Structured Clinical Examination (OSCE) by physician training programs. As a testing tool, the OSCE has great potential to assess the clinical competence of students before they enter the clinical setting. The nurse anesthesia program at the authors' university has moved toward creating a formal assessment to ensure clinical competence of their student registered nurse anesthetists. In this article, we describe the development and implementation of an OSCE to ensure clinical competence of first-year student registered nurse anesthetists before they begin their clinical training.

Original languageEnglish (US)
Pages (from-to)419-425
Number of pages7
JournalAANA Journal
Issue number6
StatePublished - Jan 1 2014
Externally publishedYes



  • Assessment
  • Formative
  • Objective structured clinical examination
  • Simulation
  • Summative

ASJC Scopus subject areas

  • Medicine(all)

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