Table 1.

Cost of development and implementation of the tele-objective structured clinical exam.

TeleOSCE component	Cost for this study†	Extrapolated cost†¶
Development (14 h combined faculty FTE)	$1039 (fixed start-up cost)	$0 (case freely available)
Implementation: observer/grader (3 h for 9 students)	Clinician faculty FTE $300 ($100/h)	$500 (assuming SP observer at $15/h with three students/h)
Implementation: technical support (3 h for 9 students)	Non-clinical faculty $135 ($45/h)	$833 (assuming staff support at $25/h with three students/h)
Adobe Connect phone charges: $0.06/min/user for 3 h (four continuous users)	$43.20	$0 (Using Google Hangouts, Skype or other free group video-conferencing software)
SP $15/h (1 h training + 3 h for OSCE)	$60	See row 2, above: SP can potentially act and grade session
Total	$1577.20	$1333 per 100 students

^†All costs are in US dollars

^¶Assumes a 100-student institution using least expensive methods

FTE, full-time equivalent. OSCE, objective structured clinical exam. SP, standardized patient