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Updated: Aug 30, 2025

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Objective structured clinical examination: Challenges and opportunities from students' perspective.

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  • 1Department of Medical Education, College of Medicine, Hawler Medical University, Erbil, Iraq.

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Area of Science:

  • Medical Education
  • Health Professions Education

Background:

  • Objective Structured Clinical Examination (OSCE) is widely used globally for clinical competence assessment.
  • Limited research in Iraq explores student perspectives on OSCE challenges and quality improvement.

Purpose of the Study:

  • To investigate student perceptions of the Objective Structured Clinical Examination (OSCE) in Iraq.
  • To identify challenges and opportunities for enhancing OSCE quality from a student viewpoint.

Main Methods:

  • Qualitative study utilizing an online open-ended questionnaire.
  • Survey conducted at Hawler Medical University College of Medicine, Iraq (2018-2019).
  • Involved 141 clinical-phase medical students (4th, 5th, 6th year).

Main Results:

  • Students generally satisfied with OSCE, noting benefits like increased confidence and higher-level learning.
  • Identified weaknesses include perceived unfairness, gender discrimination, duration, and examiner behavior.
  • Key suggestions focus on improving examiner conduct and training, and eliminating discrimination.

Conclusions:

  • Overall student satisfaction with OSCE exists, but organizational aspects require attention.
  • Enhancing OSCE quality necessitates improved training for examiners and simulated patients.
  • Addressing student-identified issues like discrimination and examiner behavior is crucial for OSCE improvement.