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[Clinical examination has impact on general well-being]
Martin Louring-Andersen1, Saddiq Qazi, Torben V Schroeder
1Kirurgisk Afdeling, Køge Sygehus, Denmark. louringandersen@gmail.com
Ugeskrift for Laeger
|December 16, 2010
Summary
The Objective Structured Clinical Examination (OSCE) significantly improved medical students' well-being, reducing stress and discomfort. Examiners experienced minor negative effects, highlighting a need for further study into their experience.
Area of Science:
- Medical Education
- Clinical Assessment
Background:
- Objective Structured Clinical Examination (OSCE) is a widely adopted assessment tool for medical students.
- Student feedback indicates OSCE can induce significant stress and anxiety.
Purpose of the Study:
- To evaluate the impact of OSCE on the general well-being of students, examiners, and supervisors.
- To investigate the psychological effects experienced by participants before and after the examination.
Main Methods:
- A controlled, prospective, non-blinded, single-center study.
- Questionnaires assessing nervousness, discomfort, fatigue, nausea, and pain were administered before and after OSCE.
- Participants included 119 students and 22 examiners/supervisors.
Main Results:
- Students reported significantly higher pre-OSCE levels of nervousness, discomfort, fatigue, and nausea compared to examiners/supervisors.
- Post-OSCE, students showed a significant reduction in these symptoms.
- Examiners/supervisors reported a non-significant increase in nausea and pain, with greater symptom fluctuations observed in students.
Conclusions:
- OSCE positively impacts student well-being, leading to reduced stress.
- Examiners/supervisors experienced a slight decline in well-being, an effect previously unexamined.
- Findings suggest multifaceted factors influence participant well-being during OSCE.
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