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Evaluating clinical skills of undergraduate pharmacy students using objective structured clinical examinations (OSCEs)

M Corbo, J P Patel, Abdel Tawab, J G Davies

Abstract

Introduction: The objective structured clinical examination (OSCE) has been used for the competency assessment of clinical skills within the 4th year MPharm programme at the University of Brighton since 1999.

Aim: To evaluate the clinical performance of 4th year MPharm students, through two academic years.

Methods: Final year pharmacy undergraduate students were divided into 16 groups and completed an OSCE exam following a 1 week placement in a hospital. Each OSCE exam comprised of six workstations.

Results: Significant differences were found between the students’ performances at the individual OSCE stations (Chi-square 1⁄4 40.7; df 1⁄4 5; p , 0.01). Students performed best on patient counselling stations and least on calculation and problem identification and resolution type stations.

Conclusion: This study demonstrates that final year pharmacy undergraduates perform poorly in activities which demand an element of clinical problem identification and resolution or when performing a clinical calculation. These results suggest that a lack of clinical exposure may be, in part, responsible for the students’ perceived inability to deal with “real life” situations which involve clinical problem solving.


Keywords

Objective structured clinical examination (OSCE), undergraduate students, clinical skills assessment, multiple choice question


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