The coronavirus disease 2019 (COVID-19) pandemic has required educators to adapt the in-person objective structured clinical examination (OSCE) to online settings in order for it to remain a critical component of the multifaceted assessment of a student’s competency. This systematic scoping review aimed to summarize the assessment methods and validity and reliability of the measurement tools used in current online OSCE (hereafter, referred to as teleOSCE) approaches. A comprehensive literature review was undertaken following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Articles were eligible if they reported any form of performance assessment, in any field of healthcare, delivered in an online format. Two reviewers independently screened the results and analyzed relevant studies. Eleven articles were included in the analysis. Pre-recorded videos were used in 3 studies, while observations by remote examiners through an online platform were used in 7 studies. Acceptability as perceived by students was reported in 2 studies. This systematic scoping review identified several insights garnered from implementing teleOSCEs, the components transferable from telemedicine, and the need for systemic research to establish the ideal teleOSCE framework. TeleOSCEs may be able to improve the accessibility and reproducibility of clinical assessments and equip students with the requisite skills to effectively practice telemedicine in the future.

中文翻译：

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在线客观结构化临床检查中测量工具的评估方法和有效性和可靠性：系统范围审查

2019 年冠状病毒病 (COVID-19) 大流行要求教育工作者将面对面客观结构化临床考试 (OSCE) 调整为在线设置，以使其成为对学生能力进行多方面评估的关键组成部分。本系统范围界定审查旨在总结当前在线 OSCE（以下称为 TeleOSCE）方法中使用的测量工具的评估方法以及有效性和可靠性。根据范围审查指南的系统审查和元分析的首选报告项目扩展，进行了全面的文献审查。如果文章在任何医疗保健领域以在线格式报告任何形式的绩效评估，则他们符合条件。两名评价员独立筛选结果并分析相关研究。11 篇文章被纳入分析。3 项研究使用了预先录制的视频，而 7 项研究使用了远程审查员通过在线平台进行的观察。2 项研究报告了学生认为的可接受性。该系统性范围审查确定了从实施远程 OSCE 中获得的若干见解、可从远程医疗转移的组件，以及系统研究以建立理想的远程 OSCE 框架的必要性。TeleOSCE 可能能够提高临床评估的可访问性和可重复性，并为学生提供必要的技能，以便在未来有效地实践远程医疗。2 项研究报告了学生认为的可接受性。该系统性范围审查确定了从实施远程 OSCE 中获得的若干见解、可从远程医疗转移的组件，以及系统研究以建立理想的远程 OSCE 框架的必要性。TeleOSCE 可能能够提高临床评估的可访问性和可重复性，并为学生提供必要的技能，以便在未来有效地实践远程医疗。2 项研究报告了学生认为的可接受性。该系统性范围审查确定了从实施远程 OSCE 中获得的若干见解、可从远程医疗转移的组件，以及系统研究以建立理想的远程 OSCE 框架的必要性。TeleOSCE 可能能够提高临床评估的可访问性和可重复性，并为学生提供必要的技能，以便在未来有效地实践远程医疗。