End of Applications (EOA) Objective Structured Clinical Exam (OSCE)

Emory University SOM requires a final (End of Application Phase) comprehensive OSCE examination outside of the required clinical clerkships to assess the clinical and diagnostic reasoning skills of students. The EOA OSCE is given to students who have completed the Application Phase of the curriculum over a several month time period in the spring and summer. Students are required to schedule their own exam during this time. Passing this examination is required for graduation. The passing benchmark is pre-determined using a standard setting method by the Human Simulation Advisory Group.

Remediation Policy for Students Who Fail the EOA OSCE

A student failing the End of Applications OSCE (EOA exam) for the first time will follow the remediation policy developed by the Human Simulation Advisory Group (HSAG). Students who fail multiple SPAs or demonstrate deficits in professionalism may be referred to the Associate Dean for Student Affairs, the Associate Dean for Student Success, and the Progress & Promotions Committee as appropriate at the discretion of the HSAG. Once remediation is complete the student will re-take the EOA at a time to be agreed upon by the student and Human Simulation Education Center (HSEC) staff.

If a student fails the EOA exam a second time, the HSEC director will contact the Associate Dean for Student Affairs, the Associate Dean for Student Success, and the Chair of the Progress and Promotions (P&P) Committee and provide the details of the student's deficiencies. The two deans will review the student's overall performance across the Application Phase and design an appropriate remediation plan for any non-clinical deficiencies. For deficiencies in clinical skills the deans will consult with one of the directors of the Essentials of Patient Care (EPC) thread to develop an appropriate remediation plan. All remediation plans will be shared with P&P. At their next meeting, the P&P committee will discuss and recommend an appropriate academic sanction for the student as necessary; such students may be considered for probation at the committee's discretion. Once finalized, the deans will inform HSEC of the planned timing of retesting of the student, and any need to use the HSEC facilities as part of the remediation process. Retesting will occur when one of the involved deans contacts HSEC to confirm that remediation is complete.

Following a third failure of the EOA, the student may be considered for dismissal by the P&P committee.