Family Medicine Residents' Attitudes toward Objective Structured Clinical Examination and the Influential Factors on the Performance of Objective Structured Clinical Examination

10.6145/jme.202109_25(3).0006

Pei-Zu Wu；Shih-Li Tsai；Wei-Dean Wang；Yen-Yuan Chen

Objective Structured Clinical Examination

Journal of Medical Education

25卷3期（2021 / 09 / 01）

112 - 125

英文

Purpose: Most educators focused on the students' attitudes toward and perceptions of an objective structured clinical examination (OSCE) held by their department. Little has been conducted on what the students' perspectives are of OSCE when implemented into a high-stakes exam such as a licensing exam. The objectives were to measure: (1) the OSCE-takers' attitudes towards the current departmental OSCE and the OSCE in general; (2) the OSCE-takers' acceptance of the OSCE if implemented in a high-stakes exam; and (3) the relationship between the OSCE-takers' attitudes towards the OSCE and their OSCE exam performance score. Methods: This is a retrospective observational study. The first-year family medicine residents at NTUH from 2007-2016 were eligible for this study. The development of the OSCE cases was based on a collaborative effort led by two senior faculty members and third-year residents as part of their medical education training. During the exam, the third-year residents scored the examinees on their performance with a scoring checklist. The residents are required to complete a 22-question questionnaire regarding their views and attitudes towards the family medicine OSCE and OSCEs in general, and how well they accept the implementation of OSCEs in high-stakes examinations. Multivariate linear regression analysis was conducted for examining the association between an OSCE-taker's exam score and acceptance of the OSCE in high-stakes examination, attitudes towards the family medicine OSCE, and OSCE in general. Results: From 2007-2016, a total of 139 questionnaires were filled out by 88 residents, given that some residents went through the OSCE exam once while most underwent it twice. Residents' baseline characteristics consisted of male and female residents (N = 88) who graduated from both National Taiwan University (NTU) (n = 43) and non-NTU (n = 45) medical schools. Most family medicine residents had positive attitudes toward the departmental OSCE and OSCE in general. They believed that OSCE allows them to be more aware of their clinical skills and can increase their abilities in clinical skills as well. They also believed this type of exam had advantages over other forms of exams such as multiple-choice questions, essay writing, and so on. Conclusions: The departmental OSCE and the OSCE in general were perceived positively by the first-year family medicine residents. Further research should include qualitative studies to investigate the reasons in more depth. Also, the questionnaires regarding the attitudes of the senior residents, who posed as the standardized patients in the exam, should also be analyzed to investigate if they produce similar results.

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