Objective Structured Clinical Examinations (OSCE) are adopted for high stakes assessment in medical education. Students pass through a series of timed stations demonstrating specific skills. Examiners observe and rate students using predetermined criteria. In most OSCEs low level technology is used to capture, analyse and produce results. We describe an OSCE Management Information System (OMIS) to streamline the OSCE process and improve quality assurance. OMIS captured OSCE data in real time using a Web 2.0 platform. We compared the traditional paper trail outcome with detailed real time analyses of separate stations. Using a paper trail version only one student failed the OSCE. However, OMIS identified nineteen possibly ‘incompetent’ students. Although there are limitations to the design of the study, the results are promising and likely to lead to defendable judgements on student performance.
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