Perceived and actual value of Student-led Objective Structured Clinical Examinations.
Clin Teach
; 21(4): e13754, 2024 Aug.
Article
in En
| MEDLINE
| ID: mdl-38429878
ABSTRACT
INTRODUCTION:
Student-led Objective Structured Clinical Examinations (OSCEs) provide formative learning opportunities prior to Faculty-led OSCEs. It is important to undertake quality assurance measurements of peer-led assessments because, if they are found to be unreliable and invalid, they may have detrimental impacts. The objectives of this study were to explore and evaluate Student-led OSCEs hosted by fifth-year medical students.METHODS:
Student-led OSCE results were analysed to examine reliability (Cronbach's alpha). The relationship between Student-led and Faculty-led OSCEs was evaluated using linear regression. Qualitative data were acquired by survey and semi-structured interviews and were analysed using an inductive content analysis approach.RESULTS:
In total, 85 (94%) of 91 eligible students consented to study participation. Student-led OSCEs had a low-moderate reliability [Cronbach alpha = 0.47 (primary care) and 0.61 (human reproduction/paediatrics) (HRH)]. A statistically significant, positive relationship between Student-led and Faculty-led OSCE results was observed. Faculty-led OSCE grades increased by 0.49 (95% CI 0.18, 0.80) to 1.09 (95% CI 0.67, 1.52), for each percentage increase in Student-led OSCE result. Student-led OSCE participants highly valued the authentic peer-assessed experience. Reported benefits included a reduction of perceived stress and anxiety prior to Faculty-led OSCEs, recognition of learning gaps, contribution to overall clinical competency and facilitation of collaboration between peers.DISCUSSION:
Student-led OSCEs are moderately reliable and can predict Faculty-led OSCE performance. This form of near-peer assessment encourages the metacognitive process of reflective practice and can be effectively implemented to direct further study. Faculties should collaborate with their student bodies to facilitate Student-led OSCEs and offer assistance to improve the quality, and benefits, of these endeavours.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Students, Medical
/
Clinical Competence
/
Educational Measurement
Limits:
Female
/
Humans
/
Male
Language:
En
Journal:
Clin Teach
Journal subject:
EDUCACAO
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: