Department of Medical Education, Kangwon National University School of Medicine, Chuncheon, Korea.
Department of Medical Education, Seoul National University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2022 May 23;37(20):e163. doi: 10.3346/jkms.2022.37.e163.
For OSCE (Objective Structured Clinical Examination) scoring, medical schools must bring together many clinical experts at the same place, which is very risky in the context of the coronavirus pandemic. However, if the FLEX model with the properties of self-directed learning and offline feedback is applied to OSCE, it is possible to provide a safe and effective evaluation environment for both universities and students through experts' evaluation of self-video clips of medical students. The present study investigated validity of the FLEX model to evaluate OSCE in a small group of medical students.
Sixteen 3 grade medical students who failed on OSCE were required to take a make-up examination by videotaping the failed items and submitting them online. The scores between original examination and make-up examination were compared using Paired Wilcoxon Signed Rank Test, and a post-hoc questionnaire was conducted.
The score for make-up examination was significantly higher than those for original examination. The significance was maintained even when the score was compared by individual domains of skills and proficiency. In terms of preference, students were largely in favor of self-videotaped examination primarily due to the availability of self-practice.
The FLEX model can be effectively applied to medical education, especially for evaluation of OSCE.
对于客观结构化临床考试（OSCE）评分，医学院必须将许多临床专家召集到同一地点，这在冠状病毒大流行的背景下风险很大。然而，如果将具有自主学习和离线反馈特性的 FLEX 模型应用于 OSCE，则可以通过专家对医学生自我录像片段的评估，为大学和学生提供安全有效的评估环境。本研究调查了 FLEX 模型在一小群医学生中评估 OSCE 的有效性。
16 名 3 年级医学生在 OSCE 中失败，需要通过录制失败项目并在线提交来参加补考。使用配对 Wilcoxon 符号秩检验比较原始考试和补考的分数，并进行了事后问卷调查。
补考的分数明显高于原始考试的分数。即使按技能和熟练程度的各个领域进行比较，这种显著性仍然存在。就偏好而言，学生们主要倾向于自我录像考试，主要是因为可以自我练习。
FLEX 模型可以有效地应用于医学教育，特别是用于 OSCE 的评估。
