Featured Article| Volume 16, P40-47, March 2018

Triangulation of Multifactorial Assessment: Bringing Objectivity to Objective Structured Clinical Examination Evaluation

Published:December 16, 2017DOI:


      • The objective structured clinical examination evaluation rubric and quiz were designed to measure student performance.
      • Student's grade determined by rubric, quiz, and standardized patient feedback.
      • Triangulation allows for precision remediation.
      • Instruments also useful with preceptors and community partners.



      The objective structured clinical examination is a critical simulation tool used as the gold standard for assessing graduate health students' ability to perform clinically. Often these simulations use assessment/evaluation methods that can be subjective.


      To minimize subjectivity, one graduate nursing program is triangulating student performance assessment by using case-specific quizzes, standardized patient feedback, and structured observation rubrics.


      Initial evidence finds this composite evaluation provides equitable feedback across cohorts, identifies students struggling didactically and adds precision to remediation.


      Initial findings are suggesting that this approach offers an all-encompassing reflection of clinical and academic performance.


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