Perez-Baena Alba Virtudes, Rudolphi-Solero Teodoro, Lorenzo-Alvarez Rocio, Dominguez-Pinos Dolores, Ruiz-Gomez Miguel Jose, Sendra-Portero Francisco
Department of Radiology, Hospital Comarcal de Antequera, Antequera, Spain.
Department of Radiology and Physical Medicine, Faculty of Medicine, University of Malaga, Malaga, Spain.
J Educ Eval Health Prof. 2025;22:12. doi: 10.3352/jeehp.2025.22.12. Epub 2025 Apr 21.
The objective structured clinical examination (OSCE) is an effective but resource-intensive tool for assessing clinical competence. This study hypothesized that implementing a virtual OSCE in the Second Life (SL) platform in the metaverse as a cost-effective alternative will effectively assess and enhance clinical skills in emergency radiology while being feasible and well-received. The aim was to evaluate a virtual radiology OSCE in SL as a formative assessment, focusing on feasibility, educational impact, and students' perceptions.
Two virtual 6-station OSCE rooms dedicated to emergency radiology were developed in SL. Sixth-year medical students completed the OSCE during a 1-hour session in 2022-2023, followed by feedback including a correction checklist, individual scores, and group comparisons. Students completed a questionnaire with Likert-scale questions, a 10-point rating, and open-ended comments. Quantitative data were analyzed using the Student t-test and the Mann-Whitney U test, and qualitative data through thematic analysis.
In total, 163 students participated, achieving mean scores of 5.1±1.4 and 4.9±1.3 (out of 10) in the 2 virtual OSCE rooms, respectively (P=0.287). One hundred seventeen students evaluated the OSCE, praising the teaching staff (9.3±1.0), project organization (8.8±1.2), OSCE environment (8.7±1.5), training usefulness (8.6±1.5), and formative self-assessment (8.5±1.4). Likert-scale questions and students' open-ended comments highlighted the virtual environment's attractiveness, case selection, self-evaluation usefulness, project excellence, and training impact. Technical difficulties were reported by 13 students (8%).
This study demonstrated the feasibility of incorporating formative OSCEs in SL as a useful teaching tool for undergraduate radiology education, which was cost-effective and highly valued by students.
客观结构化临床考试（OSCE）是评估临床能力的一种有效但资源密集型工具。本研究假设，在元宇宙的第二人生（SL）平台上实施虚拟OSCE作为一种经济高效的替代方案，将有效评估并提高急诊放射学的临床技能，同时具有可行性且受到欢迎。目的是评估SL中的虚拟放射学OSCE作为一种形成性评估，重点关注可行性、教育影响和学生的看法。
在SL中开发了两个专门用于急诊放射学的虚拟6站式OSCE房间。2022 - 2023年，六年级医学生在1小时的课程中完成了OSCE，随后进行反馈，包括校正清单、个人分数和小组比较。学生们完成了一份包含李克特量表问题、10分评分和开放式评论的问卷。定量数据使用学生t检验和曼 - 惠特尼U检验进行分析，定性数据通过主题分析进行分析。
共有163名学生参与，在两个虚拟OSCE房间中的平均得分分别为5.1±1.4和4.9±1.3（满分10分）（P = 0.287）。117名学生对OSCE进行了评估，对教师（9.3±1.0）、项目组织（8.8±1.2）、OSCE环境（8.7±1.5）、培训实用性（8.6±1.5）和形成性自我评估（8.5±1.4）给予了好评。李克特量表问题和学生的开放式评论突出了虚拟环境的吸引力、病例选择、自我评估的实用性、项目的卓越性和培训影响。13名学生（8%）报告了技术困难。
本研究证明了将形成性OSCE纳入SL作为本科放射学教育有用教学工具的可行性，该工具具有成本效益且受到学生高度重视。
