aceConcept before capability - a validity-led approach to AI in OSCEs
Objective Structured Clinical Examinations (OSCEs) remain central to the assessment of clinical competence, yet the integration of artificial intelligence (AI) into assessment design, delivery, and scoring raises a fundamental question: what evidence of competence are OSCEs intended to generate? This paper argues that AI should be evaluated through the lens of OSCE validity, with particular attention to how it may strengthen or weaken the interpretive chain linking observed performance to assessment decisions. D…
Generative AI used in OSCE materials or scoring may gradually reward observable proxies instead of the clinical capabilities the exams are meant to assess, weakening the validity of high-stakes decisions.
The source is a conceptual, argument-based proposal that sets out a framework and principles; it presents no empirical results showing how the framework or AI tools perform in actual OSCEs.
Evidence
- Peer-reviewedAdvances in Health Sciences Education2026-10-16
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Truvace Impact Record TRV-2026-1648, v1: “Concept before capability - a validity-led approach to AI in OSCEs.” Truvace, 2026-10-17. /record/TRV-2026-1648 (accessed at citation time). sha256 f7b3dd84f28e3f1c…
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