Creating an ideal objective structured clinical exam for an obstetrics and gynecology medical student clerkship

Sally W. Nalesnik*, Cathleen S. Mills, Cara H. Olsen, William H.J. Haffner, Christopher M. Zahn

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Objective: The objective of the study was to describe our experience with the Objective Structured Clinical Exam during the third-year obstetrics/gynecology clerkship. Study design: Our 8-station Objective Structured Clinical Exam is described in detail. We analyzed grades from the Objective Structured Clinical Exam for overall distribution, comparing among and between groups by year and among exam sites and correlating with the National Board of Medical Examiners subject exam and the final clerkship grades. Results: The Objective Structured Clinical Exam is provided at 3 sites, 1 at a technically advanced simulation center. Most students (54.6%) received a grade of A; however, the mean grade from the Objective Structured Clinical Exam at the simulation center (3.41 on a 4-point grade-point average scale) was lower than that at the clinic sites (3.60, P = .005; 3.73, P < .001). Effect of rotation order was identified only in the first year. Grades from the Objective Structured Clinical Exam were positively but weakly correlated with National Board of Medical Examiners subject exam and final clerkship grades. Conclusion: An Objective Structured Clinical Exam in the obstetrics/gynecology clerkship can be administered with limited resources and provides a valuable assessment method.

Original languageEnglish
Pages (from-to)1544-1550
Number of pages7
JournalAmerican Journal of Obstetrics and Gynecology
Volume193
Issue number4
DOIs
StatePublished - Oct 2005
Externally publishedYes

Keywords

  • Medical student assessment
  • Objective Structured Clinical Examination

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