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How do formative objective structured clinical examinations drive learning? Analysis of residents' perceptions
Debra Pugh1, Isabelle Desjardins1, Kevin Eva2
1a Department of Medicine , University of Ottawa , Ottawa , Canada.
A formative Objective Structured Clinical Examination (OSCE) significantly impacts resident learning by fostering goal generation and highlighting knowledge importance. Residents perceive OSCEs as both assessment and learning opportunities.
Area of Science:
- Medical Education
- Assessment in Health Professions Education
Background:
- Limited understanding of how performance-based exams influence learning.
- Existing research focuses on written tests, not practical skill assessments.
Purpose of the Study:
- To explore how a formative Objective Structured Clinical Examination (OSCE) drives learning in residents.
- To understand the impact of OSCEs on study behaviors and learning goals.
Main Methods:
- Surveys administered to 35 residents at three time points: pre-OSCE, post-OSCE, and post-results.
- Quantitative analysis using repeated-measures ANOVA to compare high- and low-performers.
- Thematic analysis of narrative comments to identify learning experiences.
Main Results:
- 94% of participants reported learning from the OSCE.
- 71% generated learning goals post-OSCE.
- High performers recognized knowledge importance earlier than low performers.
Conclusions:
- Formative OSCEs are viewed as both assessment and learning tools.
- Understanding OSCEs' influence on study behavior can improve assessment design.
- OSCEs can be leveraged to promote deeper learning and skill development.
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