Is structured oral practice test comparable to objective structured clinical examination in the assessment of clinical micro-skills?
DOI:
https://doi.org/10.35699/2237-5864.2020.19242Keywords:
Medical education, Educational evaluation, Clinical competenceAbstract
Simulation has became an important teaching strategy in health courses. The objective structured clinical examination (OSCE) is considered a gold standard in the assessment of skills and competences in simulation, but it requires many resources, making it difficult to perform it frequently. The objective of this study was to compare the OSCE with the structured oral-practical test in the assessment of clinical micro-skills. A quasi-experimental analysis was carried out with 21 medical students comparing the two types of test in the evaluation of five obstetric skills in a simulated environment. The students were divided into two groups. In the first phase, each group performed a type of test. After three weeks, the groups were switched and students took the tests again. The test type (OSCE or structured oral-practice test) did not influence the students' assessment (p>0.05). However, the scores were higher on the second day (p<0.05) regardless of the exam format, suggesting a "test effect".
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AL OMARI, Ahmad; SHAWAGFA, Zuhair M. New experience with objective structured clinical examination in Jordan. Rawal Medical Journal, v. 35, n. 1, p. 78-81, jan. 2010.
AL-ELQ, Abdulmohsen H. Medicine and Clinical Skills Laboratories. Journal of Family & Community Medicine, v. 14, n. 2, p. 59-63, maio 2007.
AMIRI, Marzieh; NICKBAKHT, Mansoureh. The Objective Structured Clinical Examination: A study on satisfaction of students, faculty members, and tutors. Life Science Journal, v. 9, n. 4, p. 4909-4911, dez. 2012.
ANASTAKIS, Dimitri J.; COHEN, Robert; REZNICK, Richard K. The Structured Oral Examination as a Method for Assessing Surgical Residents. American Journal of Surgery, New York, v. 162, n. 1, p. 67-70, jul. 1991.
BRAND, Hendrik S.; SCHOONHEIM-KLEIN, Meta. Is the OSCE more stressful? Examination anxiety and its consequences in different assessment methods in dental education. European Journal of Dental Education, Oxford, v. 13, n. 3, p. 147-153, set. 2009. DOI: http://dx.doi.org/10.1111/j.1600-0579.2008.00554.x.
BUTLER, Andrew C. Repeated Testing Produces Superior Transfer of Learning Relative to Repeated Studying. Journal of Experimental Psychology: Learning, Memory and Cognition, Washington D.C., v. 36, n. 5, p. 1118-1133, set. 2010. DOI: https://doi.org/10.1037/a0019902.
DAVIS, Margery H. OSCE: The Dundee Experience. Medical Teacher, London, v. 25, n. 3, p. 255-261, maio 2003. DOI: http://dx.doi.org/10.1080/0142159031000100292.
DAVIS, Margery H.; KARUNATHILAKE, Indika. The Place of the Oral Examination in Today's Assessment Systems. Medical Teacher, London, v. 27, n. 4, p. 294-297, jun. 2005. DOI: http://dx.doi.org/10.1080/01421590500126437.
ELDER, Andrew. Clinical Skills Assessment in the Twenty First Century. Medical Clinics of North America, Philadelphia, v. 102, n. 3, p. 545-558, maio 2018. DOI: https://doi.org/10.1016/j.mcna.2017.12.014.
EPSTEIN, Ronald M. Assessment in Medical Education. New England Journal of Medicine, Boston, v. 356, n. 4, p. 387-396, jan. 2007.
GORMLEY, Gerry. Summative OSCEs in Undergraduate Medical Education. Ulster Medical Journal, Belfast, v. 80, n. 3, p. 127-132, set. 2011.
HARDEN, Ronald M. What Is an OSCE?. Medical Teacher, London. v. 10, n. 1, p. 19-22, 1988. DOI: https://doi.org/10.3109/01421598809019321.
HARDEN, Ronald M. Misconceptions and the OSCE. Medical Teacher, London, v. 37, n. 7, p. 608-610, jul. 2015. DOI: 10.3109/0142159X.2015.1042443.
HARDEN, Ronald M. Revisiting 'Assessment of Clinical Competence Using an Objective Structured Clinical Examination (Osce)'. Medical Education, Oxford, v. 50, n. 4, p. 376-379, abr. 2016. DOI: https://doi.org/10.1111/medu.12801.
HARDEN, Ronald M.; GLEESON, F. A. Assessment of Clinical Competence Using an Objective Structured Clinical Examination (OSCE). Medical Education, Oxford, v. 13, n. 1, p. 41-54, jan. 1979.
HARDEN, Ronald M et al. Assessment of Clinical Competence Using Objective Structured Examination. British Medical Journal, London, v. 1, n. 5955, p. 447-451, fev. 1975. DOI: https://dx.doi.org/10.1136%2Fbmj.1.5955.447.
HASHIM, Rizwan et al. Structured Viva as an Assessment Tool: Perceptions of Undergraduate Medical Students. Pakistan Armed Forces Medical Journal, v. 65, n. 1, p. 141-144, fev. 2015.
JAYAWICKRAMARAJAH, P. T. Oral Examinations in Medical Education. Medical Education, Oxford, v. 19, n. 4, p. 290-293, jul. 1985. DOI: https://doi.org/10.1111/j.1365-2923.1985.tb01323.x.
KHAN, Huma Musarrat; MIRZA, Taaha Muddassir. Perceptions of Oral Structured Examination: A Move from Subjectivity to Objectivity. Pakistan Armed Forces Medical Journal, v. 67, n. 1, p. 41-46, fev. 2017.
KHAN, Kamran Z. et al. The Objective Structured Clinical Examination (OSCE): AMEE Guide No. 81. Part I: An Historical and Theoretical Perspective. Medical Teacher, London, v. 35, n. 9, p. e1437-1446, set. 2013b. DOI: https://doi.org/10.3109/0142159x.2013.818634.
KHAN, Kamran Z. et al. The Objective Structured Clinical Examination (OSCE): AMEE Guide No. 81. Part II: Organisation & Administration. Medical Teacher, London, v. 35, n. 9, p. e1447-1463, set. 2013a. DOI: https://doi.org/10.3109/0142159x.2013.818635.
KROMANN, Charles B.; JENSEN, Morten L.; RINGSTED, Charlotte. The Effect of Testing on Skills Learning. Medical Education, Oxford, v. 43, n. 1, p. 21-27, jan. 2009. DOI: https://doi.org/10.1111/j.1365-2923.2008.03245.x.
LEBLANC, Vicki. R.; BANDIERA, Glen W. The effects of examination stress on the performance of emergency medicine residents. Medical Education, Oxford, v. 41, n. 6, p. 556-564, jun. 2007. DOI: https://doi.org/10.1111/j.1365-2923.2007.02765.x.
LUNENFELD, Eitan et al. Assessment of Emergency Medicine: A Comparison of an Experimental Objective Structured Clinical Examination with a Practical Examination. Medical Education, Oxford, v. 25, n. 1, p. 38-44, jan. 1991. DOI: https://doi.org/10.1111/j.1365-2923.1991.tb00024.x.
MAJUMDER, Md Anwarul A. et al. An evaluative study of objective structured clinical examination (OSCE): students and examiners perspectives. Advances in Medical Education and Practice, Auckland, v. 10, p. 387-397, jun. 2019. DOI: https://dx.doi.org/10.2147%2FAMEP.S197275.
MATHEWS, Lulu; MENON, Janaki; MANI, N. S. Micro-OSCE for assessment of undergraduates. Indian Pediatrics, v. 41, p. 159-163, mar. 2004.
MEMON, Muhammed Ashraf; JOUGHIN, Gordon Rowland; MEMON, Breda. Oral Assessment and Postgraduate Medical Examinations: Establishing Conditions for Validity, Reliability and Fairness. Advances in Health Sciences Education: Theory and Practice, Boston, v. 15, n. 2, p. 277-289, maio 2010. DOI: https://doi.org/10.1007/s10459-008-9111-9.
MILLER, George E. The Assessment of Clinical Skills/Competence/Performance. Academic Medicine, Philadelphia, v. 65, n. 9 Supl., p. S63-67, set. 1990. DOI: https://doi.org/10.1097/00001888-199009000-00045.
MONDAL, Rakesh et al. Comparative analysis between Objective Structured Clinical Examination (OSCE) and Conventional Examination (CE) as a formative evaluation tool in Pediatrics in semester examination for final MBBS students. Kathmandu University Medical Journal, Kathmandu, v. 37, n. 1, p. 62-65, jan./mar. 2012. DOI: https://doi.org/10.3126/kumj.v10i1.6917.
PASTURA, Patrícia Souza Valle Cardoso; SANTORO-LOPES, Guilherme. O Aprendizado Melhorado Por Provas. Revista Brasileira de Educação Médica, Rio de Janeiro, v. 37, n. 3, p. 429-433, set. 2013. DOI: https://doi.org/10.1590/S0100-55022013000300015.
PIERRE, Russell et al. Student evaluation of an OSCE in paediatrics at the University of the West Indies, Jamaica. BMC Medical Education, London, v. 4, p. 22, 2004. DOI: https://dx.doi.org/10.1186%2F1472-6920-4-22.
RAZAVI, Seyyed M. et al. Station-Based Deconstructed Training Model for Teaching Procedural Skills to Medical Students: A Quasi-Experimental Study. Advances in Medical Education and Practice, Auckland, v. 1, p. 17-23, set. 2010. DOI: https://doi.org/10.2147/amep.s13750.
ROEDIGER, Henry L.; KARPICKE, Jeffrey D. Test-Enhanced Learning: Taking Memory Tests Improves Long-Term Retention. Psychological Science, New York, v. 17, n. 3, p. 249-255, mar. 2006. DOI: https://doi.org/10.1111/j.1467-9280.2006.01693.x.
SMEE, Sydney. Skill Based Assessment. British Medical Journal, London, v. 326, n. 7391, p. 703-706, mar. 2003. DOI: https://doi.org/10.1136/bmj.326.7391.703.
THIESSEN, Nils; FISCHER, Martin; HUVENDIEK, Soren. Assessment methods in medical specialist assessments in the DACH region – overview, critical examination and recommendations for further development. GMS Journal for Medical Education, Erlangen, v. 36, n. 6, p. 1-23, 2019. DOI: https://dx.doi.org/10.3205%2Fzma001286.
TIJANI, Kehinde H. et al. A comparison of The Objective Structured Clinical Examination and the Traditional Oral Clinical Examination in a Nigerian University. Journal of the West African College of Surgeons, Lagos, v. 7, n. 3, p. 59-72, jul./set. 2017.
TRONCON, Luiz Ernesto. Clinical skills assessment: limitations to the introduction of an "OSCE" (Objective Structured Clinical Examination) in a traditional Brazilian medical school. São Paulo Medical Journal, São Paulo, v. 122, n. 1, p. 12‐17, 2004. DOI: https://doi.org/10.1590/S1516-31802004000100004.
VAN DER VLEUTEN, Cees P. et al. The Assessment of Professional Competence: Building Blocks for Theory Development. Best Practice & Research: Clinical Obstetrics & Gynaecology, Amsterdam, v. 24, n. 6, p. 703-719, dez. 2010. DOI: https://doi.org/10.1016/j.bpobgyn.2010.04.001.
WASS, Val et al. Assessment of Clinical Competence. Lancet, London, v. 357, n. 9260, p. 945-949, mar. 2001. DOI: https://doi.org/10.1016/s0140-6736(00)04221-5.
WASS, Val et al. Achieving Acceptable Reliability in Oral Examinations: An Analysis of the Royal College of General Practitioners Membership Examination's Oral Component. Medical Education, Oxford, v. 37, n. 2, p. 126-131, fev. 2003. DOI: https://doi.org/10.1046/j.1365-2923.2003.01417.x.
YOUNG, Ian et al. The benefits of a peer-assisted mock OSCE. The Clinical Teacher, Oxford, v. 11, n. 3, p. 214-218, jun. 2014. DOI: https://doi.org/10.1111/tct.12112.
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