scholarly journals The role of formative objective structured clinical examinations on students’ performance in clinical years

Author(s):  
Misbah Riaz ◽  
Fazal Hussain ◽  
Mah Muneer Khan

Background: Objective structured clinical examinations are the gold standard of modern medical assessment for students. The aim of our study was to determine the effect of formative OSCEs on students’ performance in summative OSCEs in final year medical exams.Methods: This observational study was conducted at surgical B Unit, MTI, Khyber teaching hospital, Peshawar from January to December 2019. A total of 297 consecutive students of final year MBBS, studying in Khyber medical college were included in the study. Students who had repeated the year were excluded. Examination scores of formative OSCEs taken in the ward and the subsequent summative OSCEs taken in the subject of surgery were analyzed to determine the effect on summative OSCE performance. Data was analyzed using SPSS 23. Chi square test was used and p>0.05 was taken as statistically significant.Results: Out of 297 students, 188 (63.3%) were males and 109 (36.7%) were females. Of these, 243 (81.8%) students appeared in the formative OSCEs whereas 54 (18.2%) students did not appear in the formative OSCEs. The result of the subsequent summative OSCEs showed that those students who appeared in formative OSCEs showed a better performance in summative OSCEs (p<0.001) with majority of students (53.5%) having scores above 80%.Conclusions: Formative OSCEs enhance students’ performance in summative OSCEs. Repetitive formative OSCE sessions along with regular feedback should be incorporated in the medical curriculum for better performance of medical students in their final year undergraduate exams.  

Author(s):  
Dur-e- Nishat

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.


2018 ◽  
Vol 5 (2) ◽  
pp. 68-72 ◽  
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas

Background: Medical students are in a huge pressure due to their academic syllabus. Objective: The purpose of the present study was to assess the relationship between anxiety and academic performance among private medical college.Methodology: This cross sectional study was done in private medical College Hospital, Dhaka, Bangladesh and 3rd and 4th year medical student were included. Data was   collected by using semi structured Socio-demographic questionnaire and Burn Anxiety Inventory scale and Checklist. Finally all data and results were analyzed using latest version of SPSS software. For descriptive statistics means, medians, SD and range will be calculated as required. Data will be presented in frequency table, bar, pie and scattered diagram as per need.  Statistical test chi-square test were used and p<0.05 was consider to be statistically significant.Results: A total number of 200 medical students were studied after fulfilling the inclusion and exclusion criteria. Among them 87.0% were Muslim; 98.0% were unmarried; 83.0% were in nuclear family; family member of 42.5% respondents had 4 to 6 persons; monthly income of 64.7% respondents were less than 50,000 Taka; 47.0% of the respondents’ father occupation was businessman. In 1st profession examination 68.0% in Anatomy, 73% in Physiology, 76% in Biochemistry were passed in anatomy. In 1st professional exam, students suffered from moderate to extreme anxiety were passed 78% and referred 22% as well as suffered from minimal to mild anxiety were passed 43% and referred 57% in Physiology. So there was strong association between the two variables (p<0.05).Conclusion: Three fifth of the students are suffered from moderate anxiety level and those who are suffered moderate to extreme anxiety passed more and their class attendance are good.Journal of Current and Advance Medical Research 2018;5(2):68-72


Author(s):  
Anjan Datta ◽  
Kaushik Nag ◽  
Nabarun Karmakar ◽  
Tamal Chakrabarty ◽  
Kaushik Tripura ◽  
...  

Background: Sleep deprivation may have grave health consequences; resulting in increasing disease morbidity and mortality. Sleep disturbance have also been affected academic performance of medical students. The objective of the study was to find out the prevalence of sleep disturbance and association between sleep disturbance and academic performance of medical students, if any.Methods: An institution based cross-sectional study was conducted in the month of March 2018 among 203 medical students of Tripura Medical College and Dr. B.R.A.M. Teaching Hospital. Probability Proportionate to Sample Size (PPS) was used to determine the number of students required from each semester. Students selected by simple random sampling from each semester were interviewed by a pre-designed, pre-tested interview schedule designed based on Pittsburgh Sleep Quality Index. Data was represented in percentages in tables, charts and Chi square test was applied. P<0.05 was considered statistically significant.Results: Mean age of the medical student was 21.36±1.96 years. Present study showed, 57% students were complaining of disturbed sleep. Students who felt sleepy during daytime (72.4%) were struggling more during exam compared to students not feeling sleepy (51.7%), which was statistically significant. Study revealed, students who got average mark in last semester exam were most affected with disturbed sleep (66.3%) followed by students who got good marks (53.5%) and poor marks (50%).Conclusions: Prevalence of sleep disturbance was very high among medical students. Male students were much more affected compared to female students. Sleep disturbance has also affected academic performance of students.


Author(s):  
Ajay Kumar Agarwal ◽  
Ghanshyam Das Katiyar ◽  
Syed Esam Mahmood ◽  
Swati Khan ◽  
Mahendra Sharma

Background: Anaemia is a global health problem. Anaemia is one of most commonly recognized disorders. In view of ever increasing burden of anaemia in India and its detrimental effects on academic performance of students, it is necessary to find out the association of anaemia with BMI of medical and para medical students. This study was undertaken to find out association of anaemia with BMI among medical and para medical students of Rohilkhand Medical College, Bareilly.Methods: This cross sectional study was conducted in 344 medical and para medical students of Rohilkhand Medical College and Hospital, Bareilly. A structured schedule was used to collect the information regarding anaemia and BMI. Data was analyzed using SPSS software. Chi square test was applied.Results: Over all prevalence of anaemia was 29.07% prevalence was higher among female students (41.92%), among those aged between 25-26 years (75.00%) and among Muslims (40.54%), prevalence of anaemia among normal weight (31.92%) followed by underweight (27.02%) than in preobese (25.86%) while least among obese (20.83%).Conclusions: Anaemia is prevalent even in medical and para medical students who are well educated and well oriented about nutrition and its ill effect on health. BMI exhibits higher prevalence of anaemia among normal weight, followed by underweight, preobese and obese. 


2020 ◽  
Author(s):  
Priya Rawat ◽  
Chitra Joshi ◽  
Anil Kumar Joshi ◽  
Ashutosh Sayana ◽  
Yamini Bisht ◽  
...  

Abstract Background: The Coronavirus disease (COVID-19) has upended medical education. This pandemic has risen uncertainty over the start of the normal routine of studies in medical universities. Amidst the worldwide shortage of doctors, there is widespread dilemma and disagreement regarding the role of the medical students during this pandemic. Medical education is suspended and the students are barred from being direct medical providers unless there is a critical need for the additional healthcare workforce. Considering these facts we have done a survey amongst medical students of pre-final and final year to know and evaluate their opinion and outlook regarding their involvement in the hospital work at the time of the ongoing COVID 19 pandemic. Materials and Method: This is a cross-sectional study among the clinic going medical students of Government Doon Medical College Dehradun, India. It is used to know their opinion regarding their voluntary initiative to actively participate and usefulness in the hospital works while going through their classes and hospital postings. We have circulated a questionnaire among 385 medical students to know their mindset and formulate a plan to include them in the future clinical hospital works in case the pandemic situation worsens.Statistical analysis is performed using SPSS version 25. Chi-square test was used to evaluate the association between the two variables. A two-tailed p < 0.05 was considered statistically significant. Results: Out of 294 respondents 62.2% had a high motivation to work in the hospital. This was synergized by the worldwide appreciation of doctors according to 88.8% of students. A sense of duty towards the patients was clear by the responses which surpassed the fear of the disease and the belief of being a better doctor (94.2%). Conclusion: The majority of medical students were highly motivated to be a part of the hospital workforce and help to fight this apocalyptic pandemic.


Author(s):  
Jilu Anna Mathew ◽  
Evin Siby ◽  
Arun George Alex ◽  
Gouri Krishna B. S. ◽  
Merlin Moni ◽  
...  

Background: The COVID-19 lockdown has caused increased psychological disturbances among the student community. Medical students are susceptible to mental stressors and thus more likely to be affected by the pandemic. The aim of the study was to determine the prevalence of depression, anxiety and stress in medical students during the COVID-19 lockdown in Kerala along with the associated socio-demographic factors.Methods: A web-based cross-sectional study was conducted among medical students during COVID-19 lockdown in a southern state of India. Collected data included socio-demographic details and depression, anxiety and stress scale-21 (DASS-21). Chi square test was used to determine the association of depression, anxiety and stress with the socio-demographic factors.Results: A total of 760 students were invited to partake in this study. 702 satisfied the inclusion criteria and completed the evaluation, giving a response rate of 92.4%. Among the participants 67.4% were female and 32.6% were males. Prevalence of depression, anxiety and stress among medical students were 55.1%, 33.2% and 29.4% respectively. It was found that both male and female students experienced the same levels of depression (p=0.533) during the pandemic. Students studying in private self-financing medical colleges experienced more anxiety compared to students at government medical college (p=0.008) during the pandemic. It was also observed that prevalence of depression (58.4%) was highest among first year medical students.Conclusions: The study revealed that depression, anxiety and stress were prevalent in majority of medical students during the pandemic.


2021 ◽  
Vol 8 (1) ◽  
pp. 23-32
Author(s):  
I Banerjee ◽  
J Robinson ◽  
A Annavarapu ◽  
RK Gupta

Background: Various medical subjects pose a daunting task to students. Chief amongst which the subject’s students grapple with is pharmacology. The study’s primary objective was to find out the second professional medical student’s preferences, feedback, and attitude towards pharmacology textbooks at SSR Medical College, Mauritius. Methods: This cross-sectional questionnaire-based observational survey was conducted from May 2018- June 2018 at Seewoosagur Ramgoolam Medical College, Mauritius. A Chi-square test was performed to find out correlations between variables. p < 0.05 was considered as statistically significant. Results: A total of 192 medical students participated in the study out of 210 students, giving an overall response rate of 91.42%. 103 (35.6%) students chosen Essentials of Medical Pharmacology- K.D. Tripathi as a first preference, followed by 59 (30.7%) students selected Pharmacology for Medical Students- Tara V Shanbhag and Smita Shenoy as a second preference, and 22 (11.5%) chosen Medical Pharmacology- Padmaja Udaykumar as a third preference. Conclusion: The textbook Essentials of Medical Pharmacology by K.D. Tripathi is the most popular and most preferred textbook, closely seconded by Pharmacology for Medical Students by Tara V Shanbhag and Smita Shenoy and followed by Medical Pharmacology by Padmaja Udaykumar, the third in the list of the most preferred textbook. The shortcomings of textbooks, such as the innate lack of the ability to cultivate interest in common diseases which are prevalent in the home country of the students, as well as the lack to inspire students to do further reading into research articles and studies, clearly showcases the disconnect that exists between publishers, authors and users.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Dr. M. Kashif ◽  
Madiha Fatima ◽  
Badur-un-Nisa ◽  
Dr. Shazia Hassan ◽  
Irsa Ghazal ◽  
...  

Stress among medical students is a common experience. This cross-sectional study was conducted at Rawalpindi Medical College, Pakistan in 2015 to determine level of stress of students. To a sample of 292 students, semi-structured Performa along with Student-Life-Stress-Inventory scale was applied. Data was analyzed using independent sample t-test and Pearson’s chi square test at 5 % level of significance. 25%, 52.7%, 22.3% students were mildly, moderately and severely stressed respectively. Statistically significant gender differences were observed in three domains of scale. In most of subscales the scores attained by male students were higher as compared to female students. Moderate stress being most commonly prevalent and was more common in female students as compared to male students.


Author(s):  
Chibi R. Vairamani ◽  
Brogen S. Akoijam

Background: Health research is a low priority area in the developing world, mostly due to inadequate research budgets and financially not rewarding venture. Medical students have a limited understanding of research and what it entails. Training on research theory to application, is an important but neglected part of medical education curriculum in the country, which needs to be paid more attention. The objective of the study was to assess the knowledge, attitude and perceived barriers towards conducting research among medical students in a remote medical college of India. Methods: This cross sectional study was done in the easternmost medical college of India during November-December 2015. A self-administered questionnaire was used to collect data from postgraduates and interns. Data were summarized using descriptive statistics. Chi-square test was used for comparing proportions. A p-value of <0.05 was considered significant. Results: Out of the total 493 eligible participants, 440 responded to the questionnaire. More than 3/5th of the respondents had inadequate level of knowledge of conducting research. Inadequate training (87%), lack of funding (76%), lack of motivation (67%) and no mentorship program (66%), were the major reasons cited by the respondents for not participating in research projects. Ever conducted research was associated with better knowledge of research. Majority of the participants wanted to know more about research. Conclusions: The study revealed inadequate knowledge but a positive attitude towards research. Sufficient training in research methods, skills and institution of mentorship program can boost participation in research. 


2021 ◽  
Vol 71 (5) ◽  
pp. 1676-81
Author(s):  
Sawera Mansoor ◽  
Nadia Azad ◽  
Usama Bin Zubair ◽  
Khalid Hayat Khan

Objective: To determine the association of perceived stress and coping strategies with depressive symptoms in students at a private medical college in Islamabad. Study Design: Correlational study. Place and Duration of Study: Foundation University Medical College, Islamabad, from Jun to Dec 2019. Methodology: Fourth and Final year medical students of Foundation university medical college were enrolled in the study. Beck’s Depression Inventory was used to assess the depressive symptoms, perceived stress scale (PSS) was the tool used to look for the perceived stress and the coping strategies were assessed using the Brief Coping Orientation to Problems experienced (Brief COPE) Inventory. The association of perceived stress and coping strategies with depressive symptoms and other sociodemographic factors was established with the help of the chi-square test. Results: Out of 262 medical students included in the study, 211 (80.5%) had none or mild depressive symptoms while 51 (19.5%) had moderate to severe depressive symptoms. Sixty-six (25.2%) had low stress, 127 (48.4%) had moderate stress while 69 (26.3%) reported high stress levels. Pearson chi-square test revealed that perceived stress and the coping strategies used including self-distraction, active coping, denial, substance use, behavioural disengagement, positive reframing, acceptance, religion/spirituality and self-blaming had a statistically significant relationship with the presence of depressive symptoms among the target population. Conclusion: Considerable number of medical students had the presence of moderate to severe depressive symptoms in our study. Perceived stress and some specific kinds of coping strategies had a significant association with the presence of depressive symptoms among the target.......


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