Observing the Objective Structured Clinical Exam: A Deeper Dive into Structured Clinical Examination
DOI:
https://doi.org/10.51253/pafmj.v73i6.10878Keywords:
Clinical exam, Examiner, Objective structured clinical examination (OSCE), Perception, StudentsAbstract
Objective: To explore the perceptions of students and examiners regarding objective structured clinical examination (OSCE).
Study Design: Cross-sectional study.
Place and Duration of Study: University College of Medicine & Dentistry, Lahore Pakistan from Dec to Apr 2023.
Methodology: Data was collected through Google Forms, which served as a secure and user-friendly platform for survey
administration. Data was collected from the students who were enrolled in the integrated curriculum. The research involved
administering a pre-validated questionnaire to 40 examiners and 272 fourth- and final-year MBBS students. The questionnaire aimed to gather insights into various aspects of the objective structured clinical examination (OSCE), including its attributes, structure, and validity.
Results: The mean attributes of OSCE were analysed, the students' perceptions of organization, validity, and reliability were
3.52±0.72, 3.6±0.79, and 3.69±0.75, respectively. Examiners addressed clinical knowledge, skills, and station organisation SCE's positive impact. 47.5% of faculty faced equipment challenges, while 30% of examiners did not find OSCE stressful.
Conclusion: The study examines organisational and examiner views on OSCE, highlighting its effectiveness in teaching
clinical skills and knowledge.
Downloads
Metrics
References
Khan KZ, Ramachandran S, Gaunt K, Pushkar P. The objective
structured clinical examination (OSCE): AMEE guide no. 81. Part
I: an historical and theoretical perspective. Med Teach 2013;
(9): e1437-e46. https://doi.org/10.3109/0142159X.2013.818634.
Harden RM, Stevenson M, Downie WW, Wilson G. Assessment
of clinical competence using objective structured examination. Br
Med J 1975; 1(5955): 447-451.
https://doi.org/10.1136/bmj.1.5955.447.
Jain SS, Nadler S, Eyles M, Kirshblum S, DeLisa JA, Smith A, et
al. Development of an objective structured clinical examination
(OSCE) for physical medicine and rehabilitation residents. Am J
Phys Med Rehabil 1997; 76(2): 102-106.
https://doi.org/10.1097/00002060-199703000-00003.
Majumder MAA, Kumar A, Krishnamurthy K. An evaluative
study of objective structured clinical examination (OSCE):
students and examiners perspectives. Adv Med Educ Pract 2019;
: 387-397. https://doi.org/10.2147/AMEP.S197275.
Plakiotis C. Objective Structured Clinical Examination (OSCE) in
Psychiatry Education: A Review of Its Role in CompetencyBased Assessment. Adv Exp Med Biol 2017; 988: 159-180.
https://doi.org/10.1007/978-3-319-56246-9_13.
Naumann FL, Marshall S, Shulruf B, Jones PD. Exploring
examiner judgement of professional competence in rater based
assessment. Adv Health Sci Educ Theory Pract 2016; 21(4): 775-
https://doi.org/10.1007/s10459-016-9665-x.
Khan SA, Aaraj S, Talat S, Javed N. Students’ perception and
scores in Paediatrics end-of-clerkship and final professional
Objective Structured Clinical Examination (OSCE): A
comparative study. Pak J Med Sci 2021; 37(2): 525.
https://doi.org/10.12669/pjms.37.2.3422.
Tadese M, Yeshaneh A, Mulu GB. Determinants of good
academic performance among university students in Ethiopia: a
cross-sectional study. BMC Med Educ 2022; 22(1): 395.
https://doi.org/10.1186/s12909-022-03461-0.
Fisseha H, Desalegn H. Perception of Students and Examiners
about Objective Structured Clinical Examination in a Teaching
Hospital in Ethiopia. Adv Med Educ Pract 2021; 12: 1439-1448.
https://doi.org/10.2147/AMEP.S342582.
Ferreira ÉdMR, Pinto RZ, Arantes PMM, Vieira ÉLM, Teixeira
AL. Stress, anxiety, self-efficacy, and the meanings that physical
therapy students attribute to their experience with an objective
structured clinical examination. BMC Med Educ 2020; 20(1): 296.
https://doi.org/10.1186/s12909-020-02202-5.
Mamatha S, Rajalakshmi R, Ramya C. Medical Education/Original Article First Year MBBS Student’s Perception of
Objective Structured Clinical Examination and Objective
Structured Practical Examination. Indian J Physiol Pharmacol
; 61(4): 440-444.
Mak V, Krishnan S, Chuang S. Students' and Examiners'
Experiences of Their First Virtual Pharmacy Objective Structured
Clinical Examination (OSCE) in Australia during the COVID-19
Pandemic. Healthcare 2022; 10(2): 328.
https://doi.org/10.3390/healthcare10020328.
Sánchez-Conde P, Clemente-Suárez VJ. Autonomic stress
response of nurse students in an objective structured clinical
examination (OSCE). Sustainability 2021; 13(11): 5803.
https://doi.org/10.3390/su13115803
Ataro G, Worku S, Asaminew T. Experience and Challenges of
Objective Structured Clinical Examination (OSCE): Perspective of
Students and Examiners in a Clinical Department of Ethiopian
University. Ethiop J Health Sci 2020; 30(3): 417-426.
https://doi.org/10.4314/ejhs.v30i3.13.
Braier-Lorimer DA, Warren-Miell H. A peer-led mock OSCE
improves student confidence for summative OSCE assessments
in a traditional medical course. Med Teach 2022; 44(5): 535-540.
https://doi.org/10.1080/0142159X.2021.2004306.
Pierre RB, Wierenga A, Barton M, Branday JM, Christie CD.
Student evaluation of an OSCE in paediatrics at the University of
the West Indies, Jamaica. BMC Med Educ 2004; 4(1): 22-25.
https://doi.org/10.1186/1472-6920-4-22.
Zimmermann P, Kadmon M. Standardized examinees:
development of a new tool to evaluate factors influencing OSCE
scores and to train examiners. GMS J Med Educ 2020; 37(4):
Doc40. https://doi.org/10.3205/zma001333.
Alkhateeb N, Salih AM, Shabila N, Al-Dabbagh A. Objective
structured clinical examination: Challenges and opportunities
from students’ perspective. PLoS One 2022; 17(9): e0274055.
https://doi.org/10.1371/journal.pone.0274055.
Siddiqui FG. Final year MBBS students' perception for observed
structured clinical examination. J Coll Physicians Surg Pak 2013;
(1): 20-24.
Müller S, Settmacher U, Koch I, Dahmen U. A pilot survey of
student perceptions on the benefit of the OSCE and MCQ
modalities. GMS J Med Educ 2018; 35(4): Doc51.
Downloads
Published
How to Cite
Issue
Section
