ID-5184 Wonca Abstracts supplement L-Z 13-10-23 - Flipbook - Page 43
WONCA 2023 Supplement 2: WONCA 2023 abstracts (L–Z)
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Revival of the clinical exam: From OSCE to Clinical
Competency Exam
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Dr Rebecca Lock1, Gary Butler1, Dr Adareeka Jayasinghe1,2
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RACGP, 2University of Queensland
The Clinical Competency Exam (CCE) is a multistation examination that samples candidate
competency across the RACGP curriculum focusing on the application of clinical management skills
in the context of Australian general practice. It is the final hurdle assessment prior to candidates
obtaining Fellowship.
The CCE represents an agile, contemporary, evidence-based examination. Extensive consultation
with leading international medical assessment experts informed the development of this examination,
ensuring that the assessment is valid and reliable, and enabling the RACGP to assess candidates’
clinical competence in multiple contexts, upholding the standard of Fellowship.
The CCE was developed in 2019 following a decision to review and update the longstanding Objective
Structured Clinical Examination (OSCE). The COVID-19 pandemic accelerated the development of this
exam with a transitional remote clinical exam (RCE). The successful delivery of the RCE demonstrated
that the ‘show’s how’ of Miller’s pyramid could be assessed virtually without compromising the
attributes and quality of a face-to-face exam.
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This presentation will showcase the theory, development and implementation of one of the largest
successful online competency assessments worldwide. Developed and delivered in pandemic
conditions and now to become the benchmark final clinical assessment of the RACGP Fellowship.
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The CCE has been observed internationally and our team continues to work with international
partnerships to help our peers create contemporary assessments in primary care worldwide.
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