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Introducing the Objective Structured Clinical Examination (OSCE) in the undergraduate psychiatric curriculum:
Muhammad Ajmal Zahid1, Adel Al-Zayed, Jude Ohaeri
1Dept. of Psychiatry, Kuwait University, Kuwait. mazbajwa@gmail.com
Summary
The Objective Structured Clinical Examination (OSCE) had minimal impact on overall scores in psychiatry clerkships. While students scored lower on OSCE compared to previous oral exams, it may indicate better clinical skills assessment.
Area of Science:
- Medical Education
- Psychiatry Training
- Assessment Methods
Background:
- The Objective Structured Clinical Examination (OSCE) was implemented in undergraduate psychiatry clerkships in 2008.
- This study evaluates the impact of OSCE on student performance compared to previous assessment methods.
Purpose of the Study:
- To assess the effect of introducing the Objective Structured Clinical Examination (OSCE) on undergraduate psychiatry student performance.
- To compare student scores before and after the implementation of OSCE.
Main Methods:
- The Objective Structured Clinical Examination (OSCE) replaced the short case (SC) and oral examination (OE) components.
- Student performance data from 2008 (post-OSCE) was compared with data from 2007 (pre-OSCE).
Main Results:
- Overall scores showed little impact, but the 2007 cohort scored higher on essay and long case examinations.
- The 2008 cohort scored higher on the OSCE compared to the 2007 cohort's oral examination (OE).
- Top-scoring students in 2007 outperformed their 2008 counterparts on end-of-course and annual examinations.
Conclusions:
- Higher OSCE scores in 2008 may suggest improved assessment of clinical skills and professional development over factual recall.
- The study suggests it is too early to definitively judge the OSCE's impact, requiring further validity studies.
- The comparison is qualitative due to the recent introduction of OSCE in 2008.
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