Formative objective structured clinical examination with immediate feedback improves surgical clerks’ self-confidence and clinical competence

Bibliographic Data

ID21447616
AuthorsPeng Luo (0000-0002-3680-8509, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China), Jiliang Shen (0000-0001-5165-8951, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China), Tunan Yu (0000-0003-0866-3178, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China), Xiaochen Zhang (0000-0002-9040-3406, Department of Education Office, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China), Bin Zheng (0000-0001-8334-0833, Surgical Simulation Research Lab, University of Alberta Office, Edmonton, Alberta, Canada, corresponding author), Jin Yang (0000-0002-5943-495X, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China, corresponding author)
Year2023
Volume45
Issue2
Pages212-218
Publication date2023-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Teacher (JOURNAL)
Journal identifiersISSN: 0142-159X • E-ISSN: 1466-187X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0142159x.2022.2126755
PMID36151754
OpenAlexW4297183522
LanguageEN
Citations received3
References cited36

OBJECTIVE: Clerkship is crucial for fourth-year medical students before entering the clinical environment. However, lack of confidence impairs clerks' performance during the clinical rotation. We assess the impact of formative Objective Structured Clinical Examination (OSCE) with immediate feedback on surgical clerks' self-confidence and clinical competence. METHODS: = 19), where an extra 6-station formative OSCE was given prior to the surgical rotation with immediate feedback on the participant's performance. Self-confidence assessment (SCA) was collected from each participant before, right after the formative OSCE and one month later. Clinical competence was assessed using a mini-clinical evaluation exercise (mini-CEX) with a case of acute abdominal pain and direct observation of procedural skills (DOPS) with incision and suture one month later. RESULTS: The SCAs were significantly improved in the OSCE group right after the training, and a month later, compared to the control group. The mini-CEX score was significantly higher in the OSCE group compared to the control group, but not the DOPS score of incision and suture. CONCLUSION: The formative OSCE with immediate feedback could significantly enhance surgical clerks' self-confidence and their clinical competence when taking the history, performing the physical examination, and in clinical reasoning; however, the formative OSCE did not improve their dexterity in performing the procedural skills

Competence (human resources) · Confidence interval · Curriculum · Educational measurement · Formative assessment · Medical education · Objective structured clinical examination · Physical examination · Physical therapy · Innovations in Medical Education · Internal Medicine · Medicine · Psychology · Simulation-Based Education in Healthcare · Surgery · Surgical Simulation and Training

Tools

Open DOI