Background: The COVID-19 pandemic triggered a rapid transformation in medical education, pushing institutions to adopt digital tools not only for teaching but also for high-stakes clinical assessments.

Amid this disruption, quality assurance (QA) systems will serve as essential mechanisms to uphold educational standards and drive institutional resilience. At Tbilisi State Medical University (TSMU), the QA department plays a key role in supporting innovative, evidence-informed responses to challenges through the structured evaluation of digital assessment initiatives.

Summary of Work: In response to restricted access to clinical environments, TSMU is working on implementation of a Virtual Objective Structured Clinical Examination (vOSCE) as the final exam in obstetrics/gynecology and pediatrics for 7th- and 8th-semester students. This digital assessment, delivered via Moodle, focuses on evaluating analytical and clinical reasoning skills. To complement this, a mini-OSCE will be implemented during formative assessments to address hands-on skill gaps within the 60-point internal evaluation system. The QA department is responsible for assessing the educational effectiveness and stakeholder experience of this hybrid model. Structured questionnaires will be developed and administered to both students and faculty.

Summary of Results: Initial findings show that vOSCE successfully measures students' analytical and decision-making competencies, but falls short in assessing practical skills. Insights from QA-led evaluations will be used to refine digital assessment strategies and inform the University to plan future developments.

Take-home Messages:

  • Quality assurance guides responsible integration of digital learning tools in medical education
  • vOSCE offers effective interim solution for assessing clinical reasoning but cannot replace hands-on assessment
  • Blended assessment models and agile QA processes are critical for maintaining educational integrity
  • Faculty development and ongoing technical support are essential for successful implementation

This paper was presented at EQAF and reflects the views of the named authors only.

ISSN: 1375-3797

Implementation of Virtual Objective Structured Clinical Examination at Tbilisi State Medical University

Irakli Natroshvili, Khatuna Todadze, Irma Manjavidze, Pirdara Nozadze, Nino Kiladze, Maia Okujava
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