Traditional clinical examination vs objective structured practical examination in human physiology: Examiner's bias
Journal Title: International Journal of Medical Science and Public Health - Year 2015, Vol 4, Issue 5
Abstract
Background: A traditional clinical examination (TCE) in physiology focuses on the “knows ” and “knows how” aspects and is inadequate in evaluating the overall performance of the students. Objective structured practical examination (OSPE) focuses on the “shows how ” aspect of Miller’s pyramid of competence. Objective: This study was aimed to compare and establish the relation of the marks given by examiners with varied teaching experiences in determining the validity and reliability of TCE and OSPE. Materials and Methods: A total of 50 first-year MBBS students in Physiology were divided in two batches of 25 each. These were further divided in three batches with eight, eight, and nine students examined by three examiners with teaching experience of 35 years, 6 years, and 1 year, respectively, in each batch. All the examiners conducted TCE followed by OSPE for the same batch of students for four modules in abdominal system. Results: Analysis of variance and post hoc Bonferroni’s test for comparative study among examiners in TCE showed significant difference (module A, P = 0.000; module B, P = 0.000) in the mean marks given by all the three examiners while OSPE showed no significant difference (module A, P = 0.829; module B, P = 0.842) in the mean marks given by all the examiners for all the modules. Conclusion: OSPE is an objective, structured, unbiased assessment method that can be incorporated with less experienced examiners along with the TCE for overall assessment of the students.
Authors and Affiliations
Pinaki D Wani
Keywords
Related Articles
- EP ID EP138029
- DOI 10.5455/ijmsph.2015.17042014122
- Views 92
- Downloads 0
Quality assessment of nutritional components of Integrated Child Development Services provided in rural Puducherry
Background: The Integrated Child Development Services (ICDS) is a large program started with the main objective of improving health, nutrition, and development of children. Over a period of 37 years, the system laid foun...
Prevalence and antimicrobial susceptibility pattern of methiciliin resistant Staphyllocococcus Aureus in tertiary care teaching hospital - Western India
Background: Methicillin resistant Staphylococcus aureus (MRSA) infection traditionally has been associated with healthcare settings, colonizing patients with underlying debilitating health conditions. Now a day, H...
Low-dose isotretinoin in acne vulgaris
Background: Oral isotretinoin is the only drug counteracting all the pathogenetic mechanisms causing acne. Its proper use can minimize scarring and induce long-term remission. Objective: To assess the efficacy and...
Prognostic factors in severe and complicated malaria
Background: The spectrum of clinical picture of malaria ranges from the most benign febrile illness, which is completely curable with a simple course of chloroquine tablets to the most serious and life-threatening il...
Screening of cardiovascular risk factors among, urban, semiurban, and rural residents in Jammu district of Jammu and Kashmir
Background: The prevalence of cardiovascular disease risk factors has increased in the developing countries. Objective: To study the cardiovascular disease risk factors in urban, semiurban, and rural population. Ma...