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KMID : 0381520080200010051
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Korean Journal of Medical Education
2008 Volume.20 No. 1 p.51 ~ p.60
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Comparison of Self-assessment and Objective Structured Clinical Examination (OSCE) of Medical Students’ Clinical Performance
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Park Eal-Whan
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Abstract
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Purpose: The purpose of this study was to assess the clinical experiences (in internal medicine) of medical students, and compare the self-assessment of their competency in clinical skills with the assessment of instructors through the OSCE.
Methods: The frequency of clinical experiences had by medical students and the self- assessments of their confidence in clinical skills were assessed by questionnaires administered before the OSCE. 52 medical students participated in the OSCE. After completing the OSCE, they re-evaluated their own performance of 9 clinical skills examined in the OSCE by self-assessment questionnaires. The scores of these self-assessments were compared with the scores given by the instructors.
Results: For 19 of 28 clinical skills items listed in the questionnaires, self-assessment of competence by medical students correlated with the frequency of performance (p<0.05). For 9 clinical skills in the OSCE, the self-assessment scores did not correlate significantly with the instructors’ assessment scores (p>0.05). However, these 9 clinical skills scores from the instructors correlated significantly with the clerkship evaluation scores and the final semester grade
point averages (p<0.05).
Conclusion: There was a significant association between frequency of performance and self-assessed competency, which did not correlate significantly with the instructors’ evaluation through the OSCE.
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KEYWORD
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Self-assessment, OSCE, Medical Students, Clinical Performance
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