Institute of Dentistry, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Department of Oral and Maxillofacial Diseases, Faculty of Medicine, University of Helsinki, Finland, University Dental Clinic, City of Helsinki, Finland.
Eur J Dent Educ. 2024 May;28(2):408-415. doi: 10.1111/eje.12962. Epub 2023 Oct 16.
The Objective Structured Clinical Examination (OSCE) is a valid, reliable and reproducible assessment method traditionally carried out as a live examination but recently also provided online. The aim was to compare any differences in the perceptions of dental students participating in online and live OSCE using mixed methods.
All Finnish fourth-year undergraduate dental students (n = 172) attended the exam in April 2021. Due to the COVID-19 pandemic, the official administrative restrictions in teaching in universities still existed in April 2021. By the time of the national OSCE, the pandemic situation varied in different parts of the country. Therefore, two of the universities conducted a live OSCE and two an online version of the OSCE. Data were collected after the OSCE using a voluntary anonymous electronic questionnaire with multiple-choice and open-ended questions (response rate 58%). Differences between the OSCE versions were analysed using the Mann-Whitney U test and open answers with qualitative content analysis.
The students considered both types of OSCE good in general. The main differences were found concerned adequate time allocation and overall technical implementation, in favour of the live OSCE. While a qualitative analysis revealed exam anxiety as the most often mentioned negative issue, overall, comments were positive.
Variation in the assessments between different question entities seemed to be wider than between the implemented OSCE versions. Time management in the OSCE should be further developed by managing the assignment of tasks.
客观结构化临床考试（OSCE）是一种有效的、可靠的和可重复的评估方法，传统上作为现场考试进行，但最近也提供在线考试。目的是使用混合方法比较在线和现场 OSCE 中参与的牙科学生的感知差异。
所有芬兰四年级本科牙科学生（n=172）都在 2021 年 4 月参加了考试。由于 COVID-19 大流行，2021 年 4 月在大学进行教学的官方行政限制仍然存在。在全国 OSCE 时，全国各地的大流行情况各不相同。因此，两所大学进行了现场 OSCE，两所大学进行了在线 OSCE。在 OSCE 之后，使用带有多项选择和开放式问题的自愿匿名电子问卷收集数据（回应率为 58%）。使用曼-惠特尼 U 检验和开放式回答进行定性内容分析，分析 OSCE 版本之间的差异。
学生普遍认为两种类型的 OSCE 都不错。主要差异在于时间分配和整体技术实施方面，现场 OSCE 更具优势。虽然定性分析表明考试焦虑是最常提到的负面问题，但总体而言，评论是积极的。
不同问题实体之间的评估变化似乎比实施的 OSCE 版本之间的变化更大。应该通过管理任务的分配来进一步改进 OSCE 中的时间管理。
