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Student self-assessment in a paediatric objective structured clinical examination.
R B Pierre1, A Wierenga, M Barton
1Department of Obstetrics, Gynaecology and Child Health, The University of the West Indies, Kingston 7, Jamaica, West Indies. rptrin@cwjamaica.com
The West Indian Medical Journal
|July 8, 2005
Summary
Medical students
Area of Science:
- Medical Education
- Clinical Skills Assessment
Background:
- Objective Structured Clinical Examinations (OSCE) are valuable for learning and assessment.
- Student self-assessment aids in identifying strengths, weaknesses, and learning objectives.
Purpose of the Study:
- To evaluate the accuracy of medical student self-assessment in the pediatric clerkship OSCE.
- To gather data for improving the pediatric clerkship program.
Main Methods:
- A self-administered questionnaire was used post-OSCE.
- Students rated their performance using a scale; data analyzed with descriptive and non-parametric tests.
- Regression analysis correlated self-ratings with actual performance (p < 0.05).
Main Results:
- 72% of students scored above minimum competence.
- Positive correlations between self-assessment and actual scores were found in technical skills, cardiovascular exam, dysmorphism, dermatology, communication, and photo interpretation.
- Students overestimated performance in GI, radiology, and ABG interpretation, and underestimated in respiratory, head exam, and developmental/nutritional assessments.
Conclusions:
- Findings reveal perceived strengths and weaknesses in clinical competence and self-assessment.
- Results offer direction for enhancing training programs in medical education.
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