Braier-Lorimer Darryl Alexander, Warren-Miell Hannah
Department of Critical Care, Barking, Havering and Redbridge University Hospitals NHS Trust, Queen's Hospital, Romford, UK.
Med Teach. 2022 May;44(5):535-540. doi: 10.1080/0142159X.2021.2004306. Epub 2021 Nov 25.
Objective structured clinical examinations (OSCEs) can induce states of stress and anxiety in students, possibly negatively impacting student performance. Students in traditional-style medical courses especially have limited clinical exposure prior to their first clinical examination. We describe the design and implementation of a near-peer-led mock OSCE for fourth year medical students, and its impact on students' self-rated confidence.
An OSCE training programme was designed by penultimate and final year medical students. It involved the recruitment of 12 peer tutors to facilitate the running and feedback of a mock OSCE to 82 fourth year (and second year graduate) medical students delivered over 2 days, prior to their end-of-year exam. Students completed a post activity questionnaire to assess the quality and perceived benefits of the mock OSCE.
A total of 78 students completed the survey, giving a response rate of 92.8%. 100% of respondents felt the OSCE was well run, well-structured and highlighted areas of weakness in their knowledge and skills. Students reported the OSCE significantly improved their confidence for their summative OSCE. The main themes from the student comments were feeling empowered and feeling that the mock OSCE was realistic.
The near-peer-led OSCE significantly improved student confidence for OSCEs for fourth year undergraduate and second year graduate students studying a traditional medical course and was well reviewed by students.
客观结构化临床考试（OSCEs）会使学生产生压力和焦虑状态，可能对学生成绩产生负面影响。尤其是传统医学课程的学生，在首次临床考试前临床接触机会有限。我们描述了一项由临近同学主导的针对四年级医学生的模拟OSCE的设计与实施，及其对学生自我评定信心的影响。
由医学专业倒数第二年和最后一年的学生设计了一项OSCE培训计划。该计划招募了12名同伴导师，在年末考试前的2天内，为82名四年级（以及二年级毕业生）医学生组织并反馈模拟OSCE。学生们完成了一份活动后调查问卷，以评估模拟OSCE的质量和感知到的益处。
共有78名学生完成了调查，回复率为92.8%。100%的受访者认为OSCE组织良好、结构合理，且突出了他们知识和技能方面的薄弱环节。学生们表示，OSCE显著提高了他们对总结性OSCE的信心。学生评论的主要主题是感到有力量以及认为模拟OSCE很真实。
由临近同学主导的OSCE显著提高了学习传统医学课程的本科四年级和研究生二年级学生对OSCE的信心，且受到学生好评。
