PERCEPTION OF MEDICAL STUDENTS AND EXAMINERS TOWARDS OBJECTIVE STRUCTURED CLINICAL EXAMINATION: A FEEDBACK FOR IMPROVEMENT

Volume 13 , Issue 1 , March 2023 , Pages 59-68

Authors

Rozhan Nabaz Mohammed Sediq 1 ; Jamal Mahmood Salih 2 ; Fattah Hama Rahim Fattah 3 ; Adnan Mohammed Hassan 1

1 Department of Medical Education, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

2 Department of Physiology, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

3 Department Community Medicine, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10397

Keywords

Abstract

Background
Objective Structured Clinical Examination (OSCE) is globally used in the assessment of the clinical competency
of medical students. Nevertheless, OSCE has to be carefully designed and organised to be fair and reliable.
Objectives
The study aimed to observe the perception of medical students and their examiners towards OSCE.
Materials and Methods
The survey is a cross-sectional study in which a self-administrative questionnaire was designed and filled by
286 third-year students and 64 examiners of the College of Medicine /University of Sulaimani after the end
of phase-1 assessment OSCE of 2020-2021. Ethical approval has been obtained from the university. The study
data were collected and analysed by SPSS (23.0).
Results
The response rate was high among the students and examiners; 95.6% (286/299) and 80% (64/80), respectively.
The OSCE reliability test was acceptable (Cronbach’s alpha = 0.78-0.81). The proportions of agreed students to
the OSCE fairness, tested skills, and minimising the chance of failing were 42.7%, 51.4%, and 33%, respectively;
however, 65.8% found the OSCE very stressful. Although 45% of the students felt dissatisfied with the OSCE
instructions, 42-58% and 33-39% agreed with the OSCE organisation and performance, respectively. Among
the examiners, the majority perceived that the OSCE was fair, well-organised, and timed. Compared to the
conventional method, 79.7% of the examiners thought that OSCE was better in various domain assessments,
whereas 60.9% found it exhausting.
Conclusion
Overall, students’ perception of the OSCE was similarly spread to agree, neutral, and disagree, which was
lower than the examiner’s great satisfaction. These results highlighted the necessity of further improvement
in future OSCEs.

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  • Published at21 March 2023

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