الفهرس 
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Abstract
Objective Structured Clinical Examination (OSCE) is an assessment method that has been introduced in Alexandria Faculty of Medicine (AFM) within its updated strategy for education 2008-2013. Arguments were aroused since then by staff members as well as by students for and against the application of the OSCE.
Aim: This study aimed to explore perceptions and attitudes of OSCE examiners and students at AFM towards OSCE as an assessment tool and evaluate the quality of the Internal Medicine OSCE.
Methods:
Concurrent mixed methods design was used (both quantitative and qualitative).
1. Structured questionnaires were used to collect information on perceptions of various aspects of OSCE. Seven domains were assessed by 56 staff /OSCE examiners from Internal Medicine Department (38 items), and six domains were assessed by 300 students of the fifth year (28 items). A five point Likert scale was used. Satisfaction index was expressed as a percentage, and was categorized according to the following scale: <50% (Poor), 50-<60% (Acceptable), 60-75% (Good) and >75- 100% (High).
2. Interviews and focus group were used to review the OSCE planning procedures.
3. An observational checklist was used to monitor exam implementation and evaluate the quality of the exam stations.
Results:
The results of this study revealed:
1. Staff rated practical arrangements of OSCE, and fairness and reliability more positively (74% vs. 67%, and68% vs. 61% consecutively). Acceptability of OSCE was significantly more valued by students (68% vs. 62%). Staff satisfaction levels were good regarding: students` response to OSCE, real or simulated patients used, and adequacy of staff training. Students’ satisfaction with Content Validity was good, while their satisfaction with Construct Validity and Reliability was acceptable. The Overall satisfaction index of staff was significantly higher than that of the students (66% vs. 62%).