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Students’ performance in the different clinical skills assessed in OSCE: what does it reveal?

机译：在OSCE中评估学生在不同临床技能方面的表现：这揭示了什么？

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IntroductionThe purpose of this study was to compare students’ performance in the different clinical skills (CSs) assessed in the objective structured clinical examination.MethodsData for this study were obtained from final year medical students’ exit examination (n =185). Retrospective analysis of data was conducted using SPSS. Means for the six CSs assessed across the 16 stations were computed and compared.ResultsMeans for history taking, physical examination, communication skills, clinical reasoning skills (CRSs), procedural skills (PSs), and professionalism were 6.25±1.29, 6.39±1.36, 6.34±0.98, 5.86±0.99, 6.59±1.08, and 6.28±1.02, respectively. Repeated measures ANOVA showed there was a significant difference in the means of the six CSs assessed [F (2.980, 548.332)=20.253, p 0.001]. Pairwise multiple comparisons revealed significant differences between the means of the eight pairs of CSs assessed, at p 0.05.ConclusionsCRSs appeared to be the weakest while PSs were the strongest, among the six CSs assessed. Students’ unsatisfactory performance in CRS needs to be addressed as CRS is one of the core competencies in medical education and a critical skill to be acquired by medical students before entering the workplace. Despite its challenges, students must learn the skills of clinical reasoning, while clinical teachers should facilitate the clinical reasoning process and guide students’ clinical reasoning development.
机译：简介本研究的目的是比较学生在客观结构化临床考试中评估的不同临床技能（CSs）的表现。方法本研究的数据来自于去年的医学生的入学考试（n = 185）。使用SPSS进行数据回顾性分析。计算并比较了16个站点评估的6个CS的平均值。分别为6.34±0.98、5.86±0.99、6.59±1.08和6.28±1.02。重复测量的方差分析显示，评估的六个CS的均值存在显着差异[F（2.980，548.332）= 20.253，p <0.001]。成对的多重比较显示八对CS的均值之间存在显着差异，p <0.05。结论在六个CS中，CRS表现最弱，而PS表现最强。必须解决学生在CRS中表现不佳的问题，因为CRS是医学教育的核心能力之一，也是医学生进入工作场所之前必须掌握的一项关键技能。尽管面临挑战，但学生必须学习临床推理的技能，而临床教师应促进临床推理过程并指导学生临床推理的发展。

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