title: The feasibility and acceptability of administering a telemedicine objective structured clinical exam as a solution for providing equivalent education to remote and rural learners.
abstract: BACKGROUND
  Although many medical schools incorporate distance learning into their curricula, assessing students at a distance can be challenging. While some assessments are relatively simple to administer to remote students, other assessments, such as objective structured clinical exams (OSCEs) are not. This article describes a means to more effectively and efficiently assess distance learners and evaluate the feasibility and acceptability of the assessment.
  
  
  METHODS
  We developed a teleOSCE, administered online in real time, to two cohorts of students on a rural clerkship rotation and assessed the feasibility and acceptability of using such an approach to assess medical students' clinical skills at rural locations. Project feasibility was defined as having development and implementation costs of less than $5000. Project acceptability was determined by analyzing student interview transcripts. A qualitative case study design framework was chosen due to the novel nature of the activity.
  
  
  RESULTS
  The implementation cost of the teleOSCE was approximately US$1577.20, making it a feasible educational endeavor. Interview data indicated the teleOSCE was also acceptable to students.
  
  
  CONCLUSIONS
  The teleOSCE format may be useful to other institutions as a method to centrally administer clinical skills exams for assessment of distance medical students.
authors.affiliation: Oregon Health and Science University, Portland, Oregon, USA. palmerry@ohsu.edu.
authors.forename: Ryan T
authors.initials: RT
authors.lastname: Palmer
authors.affiliation: Oregon Health and Science University, Portland, Oregon, USA. biagioli@ohsu.edu.
authors.forename: Frances E
authors.initials: FE
authors.lastname: Biagioli
authors.affiliation: Oregon Health and Science University, Portland, Oregon, USA. mujcic@ohsu.edu.
authors.forename: Jasminka
authors.initials: J
authors.lastname: Mujcic
authors.affiliation: Oregon Health and Science University, Portland, Oregon, USA. schneibe@ohsu.edu.
authors.forename: Benjamin N
authors.initials: BN
authors.lastname: Schneider
authors.affiliation: Oregon Health and Science University, Portland, Oregon, USA. spiresl@ohsu.edu.
authors.forename: LeNeva
authors.initials: L
authors.lastname: Spires
authors.affiliation: Oregon Health and Science University, Portland, Oregon, USA. ldodson@mcw.edu.
authors.forename: Lisa G
authors.initials: LG
authors.lastname: Dodson
mesh_terms: D001315:Australia; D002982:Clinical Clerkship / Q000458:organization & administration; D002983:Clinical Competence; D003362:Cost-Benefit Analysis; D003479:Curriculum; D020375:Education, Distance / Q000191:economics / Q000379:methods*; D004504:Education, Medical, Undergraduate / Q000458:organization & administration*; D004521:Educational Measurement; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D010865:Pilot Projects; D015397:Program Evaluation; D012424:Rural Population; D012577:Schools, Medical / Q000458:organization & administration*; D013337:Students, Medical / Q000706:statistics & numerical data; D017216:Telemedicine; D055815:Young Adult
keywords: Assessment; Education; Medical; North America; Primary Health Care; Qualitative Research