What Do Medical Students Learn from an OSCE? An Exploratory Study in Indonesia
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Abstract
The Objective Structured Clinical Examination (OSCE) is a widely used assessment tool in medical schools, increasingly recognised for its impact on learning behaviour. This qualitative study explored the impact of OSCE on medical students’ learning behaviours at Alkhairaat University in Palu, Indonesia. Data were collected through six focus group discussions with 35 students purposively selected to represent diverse OSCE performances, and were analysed using thematic analysis. The results indicated that students perceived the OSCE as encouraging deeper learning, enhancing structured preparation, fostering skills relevant to professional growth, and reinforcing collaborative and self-regulated learning. Students also reported acquiring altruistic values through peer teaching and community-oriented behaviour. However, some students reported surface learning and dependency on rote memorisation. These findings highlight OSCE’s learning impact on medical students towards the accomplishment of not only clinical competence but also holistic professional development.
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References
Hill S, Bregazzi R. An introduction to assessing clinical skills. South Sudan Med J. 2023;16(2):64–7. https://doi.org/10.4314/ssmj.v16i2.6
Schuwirth LWT, van der Vleuten CPM. How to design a useful test: the principles of assessment. In: Swanwick T, editor. Understanding medical education: evidence, theory, and practice. New Jersey: John Wiley & Sons, Inc; 2020. p. 282–3.
Yusuf L. Objective structured clinical examination? How students perceive their learning after OSCE. Pak J Med Sci. 2021;37(4):1206–10. https://doi.org/10.12669/pjms.37.4.4005
Cilliers FJ, Schuwirth LWT, Herman N, Adendorff HJ, van der Vleuten CPM. A model of the preassessment learning effects of summative assessment in medical education. Adv Health Sci Educ Theory Pract. 2012;17(1):39–53. https://doi.org/10.1007/s10459-011-9292-5
Firmansyah M, Widyandana W, Rahayu GR. Studi kualitatif dampak uji kompetensi dokter Indonesia terhadap pembelajaran pada mahasiswa kedokteran. J Pendidik Kedokt Indones Indones J Med Educ. 2015;4(3):129.
Manuaba IBAP, Yani MVW. Evaluation of the implementation of objective structural clinical examination (OSCE) in the Faculty of Medicine: a literature review. Bali Med J. 2023;12(1):1163–6. https://doi.org/10.15562/bmj.v12i1.4383
Malau-Aduli BS, Jones K, Saad S, Richmond C. Has the OSCE met its final demise? Rebalancing clinical assessment approaches in the peri-pandemic world. Front Med. 2022;9:825502. https://doi.org/10.3389/fmed.2022.825502
Rudland J, Wilkinson T, Smith-Han K, Thompson-Fawcett M. “You can do it late at night or in the morning. You can do it at home, I did it with my flatmate.” The educational impact of an OSCE. Med Teach. 2008;30(2):206–11. https://doi.org/10.1080/01421590701851312
Müller S, Koch I, Settmacher U, Dahmen U. How the introduction of OSCEs has affected the time students spend studying: results of a nationwide study. BMC Med Educ. 2019;19(1):146. https://doi.org/10.1186/s12909-019-1570-6
Moghaddam AK, Khankeh HR, Shariati M, Norcini J, Jalili M. Educational impact of assessment on medical students’ learning at Tehran University of Medical Sciences: a qualitative study. BMJ Open. 2019;9(7):e031014. https://doi.org/10.1136/bmjopen-2019-031014
Al-Kadri HM, Al-Kadi MT, Van Der Vleuten CPM. Workplace-based assessment and students’ approaches to learning: a qualitative inquiry. Med Teach. 2013;35(Suppl 1):S31–8. https://doi.org/10.3109/0142159x.2013.765547
Triyani T, Rahayu GR, Suryadi E. Dampak pembelajaran dan efek katalitik OSCE pada Mahasiswa Tahun I, II, dan III Fakultas Kedokteran UGM. J Pendidik Kedokteran Indones. 2014;3(1):38. https://doi.org/10.22146/jpki.25197
Lafleur A, Côté L, Leppink J. Influences of OSCE design on students’ diagnostic reasoning. Med Educ. 2015;49(2):203–14. https://doi.org/10.1111/medu.12635
McKenzie S, Burgess A, Mellis C. Interns reflect: the effect of formative assessment with feedback during pre-internship. Adv Med Educ Pract. 2017;8:51–6. https://doi.org/10.2147/AMEP.S114480
Opoka RO, Kiguli S, Ssemata AS, Govaerts M, Driessen EW. Perceptions of postgraduate trainees on the impact of objective structured clinical examinations on their study behavior and clinical practice. Adv Med Educ Pract. 2015;6:431–7. https://doi.org/10.2147/amep.s79557
Kromann CB, Jensen ML, Ringsted C. The effect of testing on skills learning. Med Educ. 2009;43(1):21–7. https://doi.org/10.1111/j.1365-2923.2008.03245.x
Heeneman S, Pool AO, Schuwirth LWT, van der Vleuten CPM, Driessen EW. The impact of programmatic assessment on student learning: theory versus practice. Med Educ. 2015;49(5):487–98. https://doi.org/10.1111/medu.12645
Lafleur A, Laflamme J, Leppink J, Côté L. Task demands in OSCEs influence learning strategies. Teach Learn Med. 2017;29(3):286–95. https://doi.org/10.1080/10401334.2017.1282863
Domaradzki J, Walkowiak D. Does religion influence the motivations of future healthcare professionals to volunteer during the COVID‑19 pandemic in Poland? An exploratory study. J Relig Health. 2021;60(3):1507–20. https://doi.org/10.1007/s10943-021-01231-8
Xie F, Lu Y, Zhang Y. Does religious belief affect volunteering and donating behavior of Chinese college students? Religions. 2020;11(8):403. https://doi.org/10.3390/rel11080403
Aksoy ME, Sayali ME. Serious gaming as an additional learning tool for medical education. IJETL. 2019;5(2):52–9.
Van Gaalen AEJ, Jaarsma ADC, Georgiadis JR. Medical students’ perceptions of play and learning: qualitative study with focus groups and thematic analysis. JMIR Serious Games. 2021;9(3):e25637. https://doi.org/10.2196/25637
Soliman MM, Alghamdi MA, Shadid AM, Alsaif FF, Alkuwaiz LA, Alaql MS, et al. Perception of first‑year medical students of virtual video demonstration of the Objective Structured Clinical Examination at King Saud University Medical College in Saudi Arabia during the COVID‑19 pandemic. J Nat Sci Med. 2021;4(4):333–6. https://doi.org/10.4103/jnsm.jnsm_175_20
Alyami H, Alawami M, Lyndon M, Alyami M, Coomarasamy C, et al. Impact of using a 3D visual metaphor serious game to teach history-taking content to medical students: longitudinal mixed methods pilot study. JMIR Serious Games. 2019;7(3):e13748. https://doi.org/10.2196/13748
Augustin M. How to learn effectively in medical school: test yourself, learn actively, and repeat in intervals. Yale J Biol Med. 2014;87(2):207–12.
Franz A, Oberst S, Peters H, Berger R, Behrend R. How do medical students learn conceptual knowledge? High‑, moderate‑ and low‑utility learning techniques and perceived learning difficulties. BMC Med Educ. 2022;22:250. https://doi.org/10.1186/s12909-022-03283-0
Desai B, Desai A. A method of cognitive training of medical students and residents. Creative Educ. 2018;19(9):1377–88. https://doi.org/10.4236/ce.2018.99102
Schei E. Johnsrud RE, Mildestvedt T, Pedersen R, Hjörleifsson, S. Trustingly bewildered. How first-year medical students make sense of their learning experience in a traditional, preclinical curriculum. Med Educ Online. 2018;23(1):1500344. https://doi.org/10.1080/10872981.2018.1500344
Ghouri A, Boachie C, Mcdowall S, Parle J, Ditchfield CA, Mcconnachie A, et al. Gaining an advantage by sitting an OSCE after your peers: a retrospective study. Med Teach. 2018;40(11):1136–42. https://doi.org/10.1080/0142159X.2018.1458085
Lebdai S, Bouvard B, Martin L, Annweiler C, Lerolle N, Rineau E. Objective structured clinical examination versus traditional written examinations: a prospective observational study. BMC Med Educ. 2023;23(1):69. https://doi.org/10.1186/s12909-023-04050-5