Ameh Nkeiruka, Abdul Mohammed A, Adesiyun Gbadebo A, Avidime Solomon
Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Niger Med J. 2014 Jul;55(4):310-3. doi: 10.4103/0300-1652.137191.
Method of testing clinical competence of medical students in this setting has been controversial. This report evaluates the perceptions and preferences of 5(th) and 6(th) year medical students about traditional clinical examination (TCE) and objective structured clinical examination (OSCE).
A cross-sectional study using a structured questionnaire, administered to 156 students, who had been previously exposed to TCE and OSCE.
There were 110 (70.5%) males and 46 (29.5%) females, with median age group of 26-30 years. One hundred and thirty-one respondents (84%) felt TCE is more difficult and 20 (12.8%) felt OSCE was more difficult. One hundred and forty-two (91%) felt OSCE was easier to pass, 8 (5.1%) felt TCE was easier to pass and 6 (3.8%) were undecided. Majority of the 5(th) and 6(th) year students (95.5% and 100%, respectively) preferred OSCE for assessment. In relation to validity and reliability of OSCE, 124 (79.5%) of all the students felt it provides a true measure of essential clinical skills, 130 (83.3%) felt its scores are standardised, 143 (91.7%) felt it is a practical and useful experience and 135 (86.5%) felt students' personality, ethnicity and gender will not affect OSCE scores. Overall, there were no significant differences in preference and perceptions between 5(th) and 6(th) year students and between males and females.
Students preferred OSCE as method of assessing clinical competence and considered it a more valid and reliable method of examination.
在这种情况下，医学生临床能力的测试方法一直存在争议。本报告评估了五年级和六年级医学生对传统临床考试（TCE）和客观结构化临床考试（OSCE）的看法和偏好。
采用结构化问卷进行横断面研究，对156名曾参加过TCE和OSCE的学生进行调查。
有110名（70.5%）男性和46名（29.5%）女性，年龄中位数在26 - 30岁之间。131名受访者（84%）认为TCE更难，20名（12.8%）认为OSCE更难。142名（91%）认为OSCE更容易通过，8名（5.1%）认为TCE更容易通过，6名（3.8%）未作决定。五年级和六年级的大多数学生（分别为95.5%和100%）更喜欢用OSCE进行评估。关于OSCE的有效性和可靠性，所有学生中有124名（79.5%）认为它能真实衡量基本临床技能，130名（83.3%）认为其分数是标准化的，143名（91.7%）认为它是一次实用且有益的体验，135名（86.5%）认为学生的个性、种族和性别不会影响OSCE分数。总体而言，五年级和六年级学生之间以及男性和女性之间在偏好和看法上没有显著差异。
学生更喜欢用OSCE作为评估临床能力的方法，并认为它是一种更有效、更可靠的考试方法。
