scholarly journals Team-Based Decision-Making in an Objective Structured Clinical Examination (OSCE)

2018 ◽  
Vol 9 (3) ◽  
pp. 14 ◽  
Author(s):  
Renee Dagenais ◽  
Shane A Pawluk ◽  
Daniel C Rainkie ◽  
Kyle Wilby
Keyword(s):  
Decision Making ◽  
Student Performance ◽  
Clinical Examination ◽  
Rank Order ◽  
Pharmacy Students ◽  
Competency Framework ◽  
Objective Structured Clinical Examination ◽  
Future Research ◽  
Reflective Journal ◽  
Students Attitudes

  Evaluation of pre-licensure students’ competency in team-based decision-making is lacking. The purposes of this study were to evaluate pre-licensure pharmacy students’ competency in team-based decision-making in the context of an objective structured clinical examination (OSCE), and to determine whether performance correlated with reflective assignment scores. Students’ self-assessment and conceptualization of team-based decision-making in practice was also evaluated. Twenty-three pre-licensure pharmacy students’ competency in team-based decision-making was evaluated in an OSCE station and with a reflective journal assignment; rubric scores for both evaluations were compared using Spearman’s rank order analysis. Students completed an 18-item questionnaire regarding attitudes, confidence, and perceptions related to team-based decision-making. Descriptive statistics and construct analysis with open coding were used to analyse questionnaire results. Mean OSCE station and reflective journal scores were 45% and 66.3%, respectively, and were not correlated. Students’ attitudes toward team-based decision-making were positive, and they reported performing associated behaviours during experiential education rotations. Students appropriately defined ‘team-based decision-making’ and were highly confident in performing related activities. However, students’ conceptualization of team-based decision-making did not align with the pharmacy program’s competency framework.  Three key themes were identified through the study analyses: 1) student performance is dependent on assessment context when evaluating collaborator-related competencies; 2) there is a mismatch between students’ perceived competency and objectively measured competence when collaborator outcomes were assessed within an OSCE; and 3) students’ perceptions of team-based decision-making do not align with the program’s competency framework. Future research is necessary to assess competency and perceptions of team-based decision-making in students from other healthcare professions, and to further evaluate whether pre-licensure students are “collaborative practice ready”.   Article Type: Case Study

scholarly journals Evidence for a Cultural Mindset: Combining Process Data, Theory, and Simulation

2020 ◽  
Author(s):  
LaTasha R Holden ◽  
Michelle LaMar ◽  
Malcolm Bauer
Keyword(s):  
Decision Making ◽  
Student Performance ◽  
Cognitive Modeling ◽  
Cross Cultural ◽  
Simulation Game ◽  
Future Research ◽  
Sequential Decision ◽  
Process Data ◽  
Cultural Contexts ◽  
And Behavior

The goal of the present work is to build a foundation for understanding cognition and decision-making processes in innovative assessment contexts. Specifically, we will assess students’ Cross-Cultural Competence (3C: see Thomas et al., 2008) through a social simulation game. The present work will use Mindset (i.e., individuals beliefs about whether ability is fixed or changeable, see Dweck, 2006) to ground the project in theory because it has been shown to be a powerful motivator for decision-making and behavior in learning and achievement (Dweck & Leggett; 1988; Dweck, 1999), and in cross-cultural contexts (Dweck, 2012). The novel contribution of this paper is to apply Mindset theory to social situations requiring 3C, thus proposing the notion of cultural mindsets—defined here as the set of beliefs including affect, cognition, and behavior people bring to cross-cultural contexts. In cultural mindset, affect and cognition govern the ease with which people adapt, learn, and update cultural information. Additionally, we argue that cultural mindsets are important mechanisms involved in navigating cross-cultural situations effectively and should be considered more in future research. In order to understand how cultural mindset affects student performance, we will apply a computational cognitive modeling approach using Markov decision process (MDP) models. The MDP approach is appropriate for sequential decision-making in non-deterministic environments—as actions are chosen as part of a plan to achieve goals with the knowledge that some action effects will be probabilistic.

A ‘Fair Play’? Comparison of an Objective Structured Clinical Examination of Final Year Medical Students Training in Psychiatry and their Supervisors' Appraisals

2002 ◽  
Vol 10 (4) ◽  
pp. 444-447 ◽  
Author(s):  
Pamela Melding ◽  
John Coverdale ◽  
Elizabeth Robinson
Keyword(s):  
Medical Students ◽  
Student Performance ◽  
Clinical Examination ◽  
Good Method ◽  
Previous Method ◽  
Objective Structured Clinical Examination ◽  
Simulated Patients ◽  
Written Test ◽  
Method Of Evaluation ◽  
The University

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.

Impact of test anxiety on pharmacy students’ performance in Objective Structured Clinical Examination: a cross-sectional survey

2017 ◽  
Vol 26 (2) ◽  
pp. 191-194 ◽  
Author(s):  
Muhammad A. Hadi ◽  
Majid Ali ◽  
Abdul Haseeb ◽  
Mahmoud M.A. Mohamed ◽  
Mahmoud E. Elrggal ◽  
...  
Keyword(s):  
Test Anxiety ◽  
Clinical Examination ◽  
Pharmacy Students ◽  
Objective Structured Clinical Examination ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Pharmacy students’ views on the objective structured clinical examination (OSCE): findings from two Malaysian universities

2021 ◽  
pp. 39-44
Author(s):  
Mohamed Hassan Elnaem ◽  
Muhammad Zuljalil Ilham Wahab ◽  
Aqilah Mohd Ali ◽  
Umi Syuhada Abd Rahim ◽  
Nuraqilah Zulkifli ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Time Allocation ◽  
Cross Sectional Study ◽  
Pharmacy Students ◽  
Objective Structured Clinical Examination ◽  
Cross Sectional ◽  
Public And Private ◽  
The Public ◽  
Constructive Feedback ◽  
Study Participants

Objectives: To investigate and compare the views of undergraduate pharmacy students in two Malaysian pharmacy schools (one private and one public) regarding the organisation, quality, and objectivity of Objective Structured Clinical Examination (OSCE). Methods: A cross-sectional study was undertaken among penultimate and final year students in two Malaysian pharmacy schools between October to December 2019 (International Islamic University Malaysia [IIUM] and University of Cyberjaya [UoC]). A questionnaire was developed, tested, validated and then distributed to study participants through online Google forms. Results: A total of 221 undergraduate pharmacy students participated in the study. Students from the public university disagreed with the allocated time for the OSCE stations (IIUM 63.9% and 48.7% vs UoC 11.6% and 14.3%). Relatively few students agreed that OSCE is a less stressful type of assessment compared to other traditional methods (IIUM 7.2% and 10.3% vs UoC 39.5% and 23.8%). Both groups of students’ also disagreed that OSCE marks were likely to be affected by the student’s gender (IIUM 73.2% and 66.7% vs UoC 67.4% and 78.6%). Conclusion: The majority of participants had positive views on the organisation, quality, and objectivity of OSCE, with several differences between students in public and private universities. There are few areas to be further considered to ensure more positive OSCE experience for students such as revision on the time allocation for every station and on the provision of timely constructive feedback.

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