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How well do second-year students learn physical diagnosis? Observational study of an objective structured clinical examination (OSCE)

BACKGROUND: Little is known about using the Objective Structured Clinical Examination (OSCE) in physical diagnosis courses. The purpose of this study was to describe student performance on an OSCE in a physical diagnosis course. METHODS: Cross-sectional study at Harvard Medical School, 1997–1999, fo...

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Autores principales: Hamann, Claus, Volkan, Kevin, Fishman, Mary B, Silvestri, Ronald C, Simon, Steven R, Fletcher, Suzanne W
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2002
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC80153/
https://www.ncbi.nlm.nih.gov/pubmed/11888484
http://dx.doi.org/10.1186/1472-6920-2-1
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author Hamann, Claus
Volkan, Kevin
Fishman, Mary B
Silvestri, Ronald C
Simon, Steven R
Fletcher, Suzanne W
author_facet Hamann, Claus
Volkan, Kevin
Fishman, Mary B
Silvestri, Ronald C
Simon, Steven R
Fletcher, Suzanne W
author_sort Hamann, Claus
collection PubMed
description BACKGROUND: Little is known about using the Objective Structured Clinical Examination (OSCE) in physical diagnosis courses. The purpose of this study was to describe student performance on an OSCE in a physical diagnosis course. METHODS: Cross-sectional study at Harvard Medical School, 1997–1999, for 489 second-year students. RESULTS: Average total OSCE score was 57% (range 39–75%). Among clinical skills, students scored highest on patient interaction (72%), followed by examination technique (65%), abnormality identification (62%), history-taking (60%), patient presentation (60%), physical examination knowledge (47%), and differential diagnosis (40%) (p < .0001). Among 16 OSCE stations, scores ranged from 70% for arthritis to 29% for calf pain (p < .0001). Teaching sites accounted for larger adjusted differences in station scores, up to 28%, than in skill scores (9%) (p < .0001). CONCLUSIONS: Students scored higher on interpersonal and technical skills than on interpretive or integrative skills. Station scores identified specific content that needs improved teaching.
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spelling pubmed-801532002-03-13 How well do second-year students learn physical diagnosis? Observational study of an objective structured clinical examination (OSCE) Hamann, Claus Volkan, Kevin Fishman, Mary B Silvestri, Ronald C Simon, Steven R Fletcher, Suzanne W BMC Med Educ Research Article BACKGROUND: Little is known about using the Objective Structured Clinical Examination (OSCE) in physical diagnosis courses. The purpose of this study was to describe student performance on an OSCE in a physical diagnosis course. METHODS: Cross-sectional study at Harvard Medical School, 1997–1999, for 489 second-year students. RESULTS: Average total OSCE score was 57% (range 39–75%). Among clinical skills, students scored highest on patient interaction (72%), followed by examination technique (65%), abnormality identification (62%), history-taking (60%), patient presentation (60%), physical examination knowledge (47%), and differential diagnosis (40%) (p < .0001). Among 16 OSCE stations, scores ranged from 70% for arthritis to 29% for calf pain (p < .0001). Teaching sites accounted for larger adjusted differences in station scores, up to 28%, than in skill scores (9%) (p < .0001). CONCLUSIONS: Students scored higher on interpersonal and technical skills than on interpretive or integrative skills. Station scores identified specific content that needs improved teaching. BioMed Central 2002-01-10 /pmc/articles/PMC80153/ /pubmed/11888484 http://dx.doi.org/10.1186/1472-6920-2-1 Text en Copyright © 2002 Hamann et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
spellingShingle Research Article
Hamann, Claus
Volkan, Kevin
Fishman, Mary B
Silvestri, Ronald C
Simon, Steven R
Fletcher, Suzanne W
How well do second-year students learn physical diagnosis? Observational study of an objective structured clinical examination (OSCE)
title How well do second-year students learn physical diagnosis? Observational study of an objective structured clinical examination (OSCE)
title_full How well do second-year students learn physical diagnosis? Observational study of an objective structured clinical examination (OSCE)
title_fullStr How well do second-year students learn physical diagnosis? Observational study of an objective structured clinical examination (OSCE)
title_full_unstemmed How well do second-year students learn physical diagnosis? Observational study of an objective structured clinical examination (OSCE)
title_short How well do second-year students learn physical diagnosis? Observational study of an objective structured clinical examination (OSCE)
title_sort how well do second-year students learn physical diagnosis? observational study of an objective structured clinical examination (osce)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC80153/
https://www.ncbi.nlm.nih.gov/pubmed/11888484
http://dx.doi.org/10.1186/1472-6920-2-1
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