期刊论文详细信息
BMC Medical Education
Students benefit from developing their own emergency medicine OSCE stations: a comparative study using the matched-pair method
Martin R Fischer4  Udo X Kaisers5  Patrick Stumpp3  Michaela Zupanic2  Gunther Hempel5  Daisy Rotzoll1  Wolfgang Heinke5 
[1] Training Clinic of the Faculty of Medicine, University of Leipzig, Liebigstrasse 27, Leipzig 04103, Germany;Faculty of Health, University of Witten/Herdecke, Alfred-Herrhausen-Straße 50, Witten 58448, Germany;Department of Diagnostic and Interventional Radiology, University of Leipzig, Liebigstrasse 20, Leipzig 04103, Germany;Department of Medical Education, Munich University Hospital, Ludwig-Maximilians-University Munich, Ziemssenstraße 1, Munich 80336, Germany;Department of Anaesthesiology and Intensive Care Medicine, University of Leipzig, Liebigstrasse 20, Leipzig 04103, Germany
关键词: Assessment of training;    Undergraduate education;    Emergency medicine;    OSCE;   
Others  :  1138597
DOI  :  10.1186/1472-6920-13-138
 received in 2012-11-12, accepted in 2013-10-04,  发布年份 2013
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【 摘 要 】

Background

Students can improve the learning process by developing their own multiple choice questions. If a similar effect occurred when creating OSCE (objective structured clinical examination) stations by themselves it could be beneficial to involve them in the development of OSCE stations. This study investigates the effect of students developing emergency medicine OSCE stations on their test performance.

Method

In the 2011/12 winter semester, an emergency medicine OSCE was held for the first time at the Faculty of Medicine at the University of Leipzig. When preparing for the OSCE, 13 students (the intervention group) developed and tested emergency medicine examination stations as a learning experience. Their subsequent OSCE performance was compared to that of 13 other students (the control group), who were parallelized in terms of age, gender, semester and level of previous knowledge using the matched-pair method. In addition, both groups were compared to 20 students who tested the OSCE prior to regular emergency medicine training (test OSCE group).

Results

There were no differences between the three groups regarding age (24.3 ± 2.6; 24.2 ± 3.4 and 24 ± 2.3 years) or previous knowledge (29.3 ± 3.4; 29.3 ± 3.2 and 28.9 ± 4.7 points in the multiple choice [MC] exam in emergency medicine). Merely the gender distribution differed (8 female and 5 male students in the intervention and control group vs. 3 males and 17 females in the test OSCE group).

In the exam OSCE, participants in the intervention group scored 233.4 ± 6.3 points (mean ± SD) compared to 223.8 ± 9.2 points (p < 0.01) in the control group. Cohen’s effect size was d = 1.24. The students of the test OSCE group scored 223.2 ± 13.4 points.

Conclusions

Students who actively develop OSCE stations when preparing for an emergency medicine OSCE achieve better exam results.

【 授权许可】

   
2013 Heinke et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Iblher P, Zupanic M, Härtel C, Parbel A, Prüßmann M, Heinze H, Fischer M, Schmucker P: Prepared for an emergency? An OSCE in medical student training in emergency medical care. Anästh Intensivmed 2011, 52:812-822.
  • [2]Harden RM, Stevenson M, Downie WW, Wilson GM: Assessment of clinical competence using objective structured examinations. Br Med J 1975, 1:447-451.
  • [3]Harden RM, Gleeson FA: Assessment of clinical competence using an objective structured clinical examination (OSCE). Med Educ 1979, 13:41-54.
  • [4]Hodges B: Creating, monitoring, and improving a psychiatry OSCE. Acad Psych 2002, 26:131-161.
  • [5]Hofer M, Jansen M, Soboll S: Potential improvements in medical education as retrospectively evaluated by candidates for specialist examinations. Dtsch Med Wochenschr 2006, 131:373-378.
  • [6]Fischer MR, Holzer M, Jünger J: Exams at medical faculties - Quality, responsibility and perspectives. GMS Z Med Ausbild 2010, 27:1-6.
  • [7]Möltner A, Duelli R, Resch F, Schultz JH, Jünger J: School-specific assessment in German medical schools. GMS Z Med Ausbild 2010, 27:Doc44.
  • [8]Beckers SK, Timmermann A, Müller MP, Angstwurm M, Walcher F: Undergraduate medical education in emergency medical care: a nationwide survey at German medical schools. BMC Emerg Med 2009, 9:7. BioMed Central Full Text
  • [9]Beckers SK, Müller MP, Timmermann A, Walcher F, Urban B, Angstwurm M: Emergency medical care in undergraduate medical education: overview, concepts and perspectives. Notfall Rettungsmed 2009, 12:354-359.
  • [10]Foos P, Mora JJ, Tkacz S: Student study techniques and the generation effect. J Educ Psych 1994, 86:567-576.
  • [11]Foos PW: Effects of student written questions on students test performance. In Handbook for Teaching introductory Psychology. Edited by Griggs RA. New Jersey: Lawrence Erlbaum Associates Inc; 2002:91-93. Publishers
  • [12]Denny P, Hamer J, Luxton-Reilly A, Purchase H: PeerWise: students sharing their multiple choice questions. In Proceeding of the fourth international workshop on Computing education research: 06–07 September 2008; Sydney. Edited by Caspersen ME. New York: Association for Computing Machinery; 2008:51-58.
  • [13]Lernzielkatalog Klinik und Poliklinik für Anästhesiologie und Intensivtherapie. http://www.kai-uniklinik-leipzig.de/index.php/de/fuer-studenten/lernzielkatalog webcite
  • [14]Kern DE, Thomas PA, Howard DM, Bass EB: Curriculum development for medical education. A six-step approach. Baltimore and London: The John Hopkins University Press; 1998.
  • [15]Selby C, Osman L, Davis M, Lee M: How to do it: set up and run an objective structured clinical exam. BMJ 1995, 310:1187-1190.
  • [16]Nickendei C, Jünger J: OSCE - hands on instructions for the implementation of an objective structured clinical examination. GMS Z Med Ausbild 2006, 23:1-8.
  • [17]Wilkinson TJ, Wells JE, Bushnell JA: Using a diary to quantify learning activities. Med Educ 2005, 39:657-664.
  • [18]Cilliers FJ, Schuwirth LW, van der Vleuten CP: A model of the pre-assessment learning effects of assessment is operational in an undergraduate clinical context. BMC Med Educ 2012, 12:9. BioMed Central Full Text
  • [19]Blume JH, Perleth M, Busse R: What does the objective structured clinical examination cost? GMS Z Med Ausbild 2000, 17:12-17.
  • [20]Fischer MR: Objective structured clinical examination (OSCE). How to do it seriously despite scarce resources? GMS Z Med Ausbild 2007, 24:145.
  • [21]Biggs J: Teaching for quality learning at university – What the student does. 1st edition. Buckingham: SRHE/Open University Press; 1999.
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