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

Abstract

Background It is unclear how comprehensive evaluations conducted prior to clinical clerkships (CC), such as the objective structured clinical examination (OSCE) and computer-based testing (CBT), reflect the performance of medical students in CC. Here we retrospectively analyzed correlations between OSCE and CBT scores and CC performance. Methods Ethical approval was obtained from our institutional review board. We analyzed correlations between OSCE and CBT scores and CC performance in 94 medical students who took the OSCE and CBT in 2017 when they were 4th year students, and who participated in the basic CC in 2018 when they were 5th year students. Results Total scores for OSCE and CBT were significantly correlated with CC performance (P<0.001, each). More specifically, medical interview and chest examination components of the OSCE were significantly correlated with CC performance (P = 0.001, each), while the remaining five components of the OSCE were not. Conclusion Our findings suggest that the OSCE and CBT play important roles in predicting CC performance in Japanese medical education context. Among OSCE components, medical interview and chest examination were suggested to be important for predicting CC performance.

A text mining analysis of perceptions of the COVID‐19 pandemic among final‐year medical students

“…In their 5th year, medical students undergo a basic clinical clerkship. In their 6th year, they participate in selective clinical clerkships and take a graduation examination 6 . Semesters begin in April.…”

Correlation of student performance on clerkship with quality of medical chart documentation in a simulation setting

“…Accordingly, medical education programs aim to produce competent graduates who can record patient history through medical interviews, conduct a comprehensive physical examination, and perform medical chart documentation. Of these competencies, medical chart documentation skills are considered to be very important [20,21]. Patient interviews and medical chart documentation are essential skills, and accurate documentation and evaluation allow medical students to collect the information required for appropriate diagnosis and treatment during their CC [22,23].…”

“…Accordingly, medical education programs aim to produce competent graduates who can record patient history through medical interviews, conduct a comprehensive physical examination, and perform medical chart documentation. Of these competencies, medical chart documentation skills are considered to be very important [ 20 , 21 ].…”

“…Scores for each CC are collected by the medical education center and used to calculate an average score. In this study, we focused on the basic CC (32 weeks) score, since all medical students follow the same curriculum during their basic CC [ 20 ].…”

Attitude Survey of Medical School Staff After Simulated Patient Experiences

“…After clinical clerkship too, a number of schools have been conducting post-clinical clerkship OSCE to evaluate whether the abilities required for starting clinical practice, in terms of skills and manner, have been acquired. Since 2020, common achievement testing has been conducted for post-clinical clerkship OSCE 6 .…”