scholarly journals Relationships between objective structured clinical examination, computer-based testing, and clinical clerkship performance in Japanese medical students

PLoS ONE ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. e0230792 ◽  
Author(s):  
Nobuyasu Komasawa ◽  
Fumio Terasaki ◽  
Takashi Nakano ◽  
Ryo Kawata
2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Raden Anita Indriyanti ◽  
Fajar Awalia Yulianto ◽  
Yuke Andriane

Prescription is an instruction written by a medical practitioner to give a drug or device for a patient. The proper prescription will contribute to speedy recovery or healing process for the patient. Clinical clerkship must have an excellent competency to choose the right medication and prescribe the appropriate drugs or therapy. This study aims to analyze the common error in prescription's writing in clinical clerkship among medical students at their final examination to be a medical doctor. This study used the analytic method to 609 sheets of prescription from 180 clerkship students in their last try out on objective structured clinical examination (OSCE) at the Faculty of Medicine Universitas Islam Bandung in March 2018. Analyzed the component that every prescription should have, which consists of patient identity, superscription, inscription, subscription, and signatures. The result showed that more than half of the clerkship students made an error in subscription (50.25%) and signatures items (55.83%), while most of them had written down properly the patient identity (77.5%), superscription (83.74%), and inscription (78.98%). As a result, with more than half error in a prescription written in subscription and signature item, the failure of giving adequate therapy will cause a low recovery or healing process to the patients. Moreover, it may harm or cause death to the patients. In conclusion, more than half of medical students made common errors in prescription's writing. KESALAHAN PENULISAN RESEP PADA MAHASISWA KOASISTENSI FAKULTAS KEDOKTERANResep merupakan instruksi yang ditulis oleh tenaga medis untuk memberikan obat atau seperangkat alat kepada pasien. Peresepan yang tepat akan membawa proses pemulihan dan penyembuhan terhadap pasien. Mahasiswa kedokteran yang menjalankan masa koasisten harus memiliki kompetensi yang baik untuk memilih dan menuliskan terapi yang sesuai. Penelitian ini bertujuan menganalisis kesalahan umum dalam penulisan resep pada mahasiswa kedokteran yang akan menghadapi ujian akhir untuk menjadi seorang dokter. Penelitian ini menggunakan metode analitik terhadap 609 lembar resep dari 180 mahasiswa kedokteran yang sedang melaksanakan try out akhir objective structured clinical examination (OSCE) di Fakultas Kedokteran Universitas Islam Bandung pada Maret 2018. Dianalisis setiap komponen yang harus ada dalam penulisan resep, yaitu identitas pasien, superskripsi, inskripsi, subskripsi, dan signature. Hasil penelitian menunjukkan bahwa lebih dari setengah mahasiswa melakukan kesalahan pada item subskripsi (50,25%) dan signature (55,83%), sedangkan sebagian besar sudah menulis dengan baik pada item identitas pasien (77,5%), superskripsi (83,74%), dan inskripsi (78,98%). Akibatnya, dengan lebih dari setengah jumlah kesalahan dalam penulisan item subskripsi dan signature maka kegagalan dalam memberikan terapi yang adekuat dapat menyebabkan angka kesembuhan yang rendah, terlebih lagi dapat menimbulkan bahaya bahkan kematian terhadap pasien. Simpulan, lebih dari setengah mahasiswa kedokteran melakukan kesalahan umum dalam penulisan resep.


2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Festy Ladyani Mustofa ◽  
Jordy Oktobiannobel ◽  
Sulesa Sulesa

Kecemasan adalah keadaan tegang berlebihan ditandai perasaan khawatir, tidak menentu, atau takut. Kecemasan sering di alami pada mahasiswa khususnya mahasiswa kedokteran yang akan melaksanakan Ujian Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD) diantaranya ujian Objective Structured Clinical Examination (OSCE) dan Computer Based Test (CBT). OSCE merupakan instrumen penilaian keterampilan klinik pada mahasiswa kedokteran. Kecemasan apabila sudah mencapai tingkat kecemasan yang berat akan mengganggu proses jalannya ujian dan juga memungkinkan mempengaruhi hasil ujian pada mahasiswa program profesi dokter yang melaksanakannya. Jenis penelitian yang digunakan adalah deskriptif  dengan menggunakan pendekatan cross sectional. Tujuannya untuk mengetahui gambaran kecemasan dalam menghadapi OSCE UKMPPD pada mahasiswa first taker pendidikan profesi dokter di Universitas Malahayati tahun 2019. Hasil penelitian didapatkan kecemasan paling tinggi yaitu sebesar 78 (56%) pada kecemasan ringan. Distribusi usia paling banyak mengikuti ujian OSCE UKMPPD adalah  usia 24 tahun 88 peserta (63,8%). Ditribusi jenis kelamin paling banyak berjenis kelamin perempuan sebanyak 99 peserta (71,7%). Distribusi masa studi paling banyak dari peserta OSCE UKMPPD yaitu Masa studi 6 tahun yaitu sebanyak 108 peserta (78,26%). Berdasarkan distribusi data terbanyak untuk gambaran kecemasan dalam menghadapi ujian OSCE UKMPPD pada mahasiswa first taker pendidikan profesi dokter di Universitas Malahayati Bandar Lampung tahun 2019 adalah kecemasan ringan, usia 24 tahun, jenis kelamin perempuan, dan dengan masa studi 6 tahun.


1999 ◽  
Vol 88 (Supplement) ◽  
pp. 168S
Author(s):  
&NA; Sloan ◽  
M. Plymale ◽  
B. Vanderveer ◽  
P. LaFontain ◽  
M. Johnson ◽  
...  

2002 ◽  
Vol 10 (4) ◽  
pp. 444-447 ◽  
Author(s):  
Pamela Melding ◽  
John Coverdale ◽  
Elizabeth Robinson

Objective: Expected standards for student performance in psychiatry can vary between supervisors and institutions. Recently, the University of Auckland required its academic departments to have an objective standard assessment or test for each student on a clinical attachment. We aimed to compare an objective structured clinical examination of final year medical students training in psychiatry and their supervisors' appraisals. Method: Assessment in psychiatry initially consisted of a two-hour written test. Subsequently, the test in psychiatry changed to a standardised, modified, objective, structured, clinical examination (OSCE) using simulated patients. The clinical supervisor rated each student on a set of clinical parameters using a scale of 1-6. In addition, members of the academic department of psychiatry separately tested the students with a modified OSCE on the last day of their clinical attachment. The results of the OSCE are compared with clinical attachment assessments and the previous method of evaluation, the written test. Results: There was no correlation between the written test and the supervisor's assessment for the clinical attachment indicating that the written test was not a good method of evaluating student performance. The correlation between the clinical attachment grading and the OSCE for year 1 was 0.4 (p=0.002) and for year 2 was 0.5 (p=0.001). However, marks for the OSCE were consistently lower than those given for the clinical attachment. Conclusions: The introduction of the modified OSCE had the desired outcome of changing students' focus from the pursuit of theoretical knowledge to the attainment of practical skills.


10.2196/17719 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e17719
Author(s):  
M D Grima-Murcia ◽  
Francisco Sanchez-Ferrer ◽  
Jose Manuel Ramos-Rincón ◽  
Eduardo Fernández

Background The objective structured clinical examination (OSCE) is a test used throughout Spain to evaluate the clinical competencies, decision making, problem solving, and other skills of sixth-year medical students. Objective The main goal of this study is to explore the possible applications and utility of portable eye-tracking systems in the setting of the OSCE, particularly questions associated with attention and engagement. Methods We used a portable Tobii Glasses 2 eye tracker, which allows real-time monitoring of where the students were looking and records the voice and ambient sounds. We then performed a qualitative and a quantitative analysis of the fields of vision and gaze points attracting attention as well as the visual itinerary. Results Eye-tracking technology was used in the OSCE with no major issues. This portable system was of the greatest value in the patient simulators and mannequin stations, where interaction with the simulated patient or areas of interest in the mannequin can be quantified. This technology proved useful to better identify the areas of interest in the medical images provided. Conclusions Portable eye trackers offer the opportunity to improve the objective evaluation of candidates and the self-evaluation of the stations used as well as medical simulations by examiners. We suggest that this technology has enough resolution to identify where a student is looking at and could be useful for developing new approaches for evaluating specific aspects of clinical competencies.


2020 ◽  
Vol 20 (2) ◽  
pp. 960-965
Author(s):  
Stanley Ukadike Okugbo ◽  
Peter Agbonrofo ◽  
Omorodion Irowa

Introduction: The aim of this study was to assess our use of OSCE from the perception of final year medical students. Materials and methods: This is a cross sectional survey of final year medical students undergoing the final examination in Surgery. All 102 medical students in the class were given the self-administered questionnaire to fill. The data were collated into excel spreadsheets and analysed using the SPSS version 21. Results: A total of 79 completed questionnaires were retrieved (return rate of 78%). All the students knew about and had participated previously in OSCE, 94.9% accorded the OSCE fair. 76(93.2%) wanted the examination as the main method of clinical assessment, 38(46.6%) had adequate preparation. In terms of the OSCE stations not mirroring real clinical scenarios, 38(48.1%) disagreed, and 26(20.5%) strongly disagreed. 34(43%) disagreeing that the logistics was poor. The students rating of the OSCE, on a scale of 1 - 10, gave a mean score of >8 for spread of the OSCE stations, detail of the questions and objectivity of the examination. The nearness to clinical reality was rated as 7.52 with artificiality of the stations rated as 4.12. Conclusion: The OSCE has gained acceptance amongst final year medical students. Keyword: Clinical examination; medical students assessment; measuring index.


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