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OBJECTIVE To1 explain the growth and evaluate the feasibility of a surgical objective structured clinical examination (OSCE) for the true purpose of competency assessment in line with the Royal university of Canada's CanMEDS framework. DESIGN A unique medical OSCE was developed to evaluate the clinical and surgical management of typical orthopaedic dilemmas using simulated patients and cadaveric specimens. Instances were graded by level of difficulty (less complex, complex, more technical) Building an assessme
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