Undergraduate performance assessment:  Attitudes towards and acceptance of OSCEs among 4th year medical students

Umayya Musharrafieh; Khalil Ashkar; Dima Dandashi; Maya Romani; Rana Houry; Ziad Mahfoud

doi:10.31686/ijier.vol5.iss9.870

Authors

Umayya Musharrafieh American University of Beirut Medical Center, Lebanon
Khalil Ashkar, Dr American University of Beirut Medical Center, Lebanon
Dima Dandashi American University of Beirut Medical Center, Lebanon
Maya Romani, Dr American University of Beirut Medical Center, Lebanon
Rana Houry AUBMC
Ziad Mahfoud, Ph.D Weill Cornell Medical College, Doha, Qatar Center

DOI:

https://doi.org/10.31686/ijier.vol5.iss9.870

Abstract

Introduction: Objective Structured Clinical Examination (OSCE) is considered a useful method of assessing clinical skills besides Multiple Choice Questions (MCQs) and clinical evaluations.
Aim: To explore the acceptance of medical students to this assessment tool in medical education and to determine whether the assessment results of MCQs and faculty clinical evaluations agree with the respective OSCE scores of 4th year medical students (Med IV).
Methods: performance of a total of 223 Med IV students distributed on academic years 2006-2007, 2007-2008, and 2008-2009 in OSCE, MCQs and faculty evaluations were compared. Out of the total 93 students were asked randomly to fill a questionnaire about their attitudes and acceptance of this tool. The OSCE was conducted every two months for two different groups of medical students who had completed their family medicine rotation, while faculty evaluation based on observation by assessors was submitted on a monthly basis upon the completion of the rotation. The final exam for the family medicine clerkship was performed at the end of the 4thacademic year, and it consisted of MCQs
Results: Students highly commended the OSCE as a tool of evaluation by faculty members as it provides a true measure of required clinical skills and communication skills compared to MCQs and faculty evaluation. The study showed a significant positive correlation between the OSCE scores and the clinical evaluation scores while there was no association between the OSCE score and the final exam scores.
Conclusion: Student showed high appreciation and acceptance of this type of clinical skills testing. Despite the fact that OSCEs make them more stressed than other modalities of assessment, it remained the preferred one.

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References

Harden, R., M. Stevenson, Downieww et al. (1975). "Assessment of clinical competence using objective structured examination." Br Med J; 1(5955): 447-451.2. Kampmeier J, Rau T, Liebhardt H, Fegert JM, Lang GK. Adoption of OSCE Examination Procedures in Ophthalmology. KlinMonblAugenheilkd. 2011 jun;228(6):550-4

Taylor M.L., Blue A.V., Mainous A.G., Geesey M.E., Basco W.T. The relationship between the National Board of Medical Examiners’ prototype of the step 2 clinical skills exam and interns’ performance. Acad Med.2005; 80(5):496–501. DOI: https://doi.org/10.1097/00001888-200505000-00019

Park S.E., Susarla S.M., Massey W. Do admissions data and NBDE Part I scores predict clinical performance among dental students? J Dent Educ. 2006. 70(5):518–24. DOI: https://doi.org/10.1002/j.0022-0337.2006.70.5.tb04106.x

Webb S.C. Evaluating tests as predictors of dental school grades. J Dent Educ.1958; 22:33–45.

Hangorsky U. Clinical competency levels of fourth-year dental students as determined by board examiners and faculty members. J Am Dent Assoc. 1981; 102:35–7. DOI: https://doi.org/10.14219/jada.archive.1981.0027

Bergman A.V., Susarla S.M., Howell T.H., Karimbux N.Y. Dental admissions test scores and performance on NBDE Part I, revisited. J Dent Educ. 2006; 70(3):258–62 DOI: https://doi.org/10.1002/j.0022-0337.2006.70.3.tb04081.x

Wass, V., C. Van der Vleuten, Shatzer J, Jones R et al. (2001). "Assessment of clinical competence." Lancet 357(9260): 945-949 DOI: https://doi.org/10.1016/S0140-6736(00)04221-5

Lazarus J., Kent A.P. Student attitudes towards the objective structured clinical examination (OSCE) and conventional methods of assessment. S Afr Med J. Sep 10 1983; 64(11):390-4

Eileen Furlong,Patricia Fox, Marie Lavin, Rita Collins .Oncology nursing students’ views of a modified OSCE.European Journal of Oncology NursingVolume 9, Issue 4, December 2005, Pages 351–359 DOI: https://doi.org/10.1016/j.ejon.2005.03.001

SeyleH.Stress in Health and Disease.Butterworth, Boston (1976)

Sturpe DA, Huynh D, Haines ST. Scoring objectivestructuredclinical examinations using video monitors or video recordings. Am J Pharm Educ. 2010 Apr 12;74(3):44 DOI: https://doi.org/10.5688/aj740344

Metheny W.P. Limitations of physician ratings in the assessment of student clinical performance in an obstetrics and gynecology clerkship.Obstet Gynecol. July1991; 78(1):136-41

Kreiter, C.D; Ferguson, K., Lee, W.C., Brennan, R.L.; Densen P. A generalizability study of a new standardized rating form used to evaluate students' clinical clerkship performances. Acad Med. Dec 1998; 73(12): 1294-8 DOI: https://doi.org/10.1097/00001888-199812000-00021

Mostafa Amr and Tarek Amin: Assessment Methods of an Undergraduate Psychiatry Course at a Saudi University. SQU Med J, May 2012, Vol. 12, Iss. 2, pp. 214-224, DOI: https://doi.org/10.12816/0003115

Hendricson W.D., Andrieu S.C., Chadwick D.G., Chmar J.E., Cole J.R., George M.C., et al. Educational strategies associated with development of problem-solving, critical thinking, and self-directed learning. J Dent Educ.2006; 70(9):925–36. DOI: https://doi.org/10.1002/j.0022-0337.2006.70.9.tb04163.x