Performance and perception of first-year pharmacy students in virtual vs. in-person OSCE

Authors

  • Yuqin Hu Faculty of Pharmacy, West Coast University, Los Angeles, California, United States
  • Nadia Khartabil Faculty of Pharmacy, West Coast University, Los Angeles, California, United States
  • Ayda Awaness Faculty of Pharmacy, West Coast University, Los Angeles, California, United States
  • Michelle Batugo Faculty of Pharmacy, West Coast University, Los Angeles, California, United States
  • William Ofstad Faculty of Pharmacy, West Coast University, Los Angeles, California, United States
  • Parto Khansari Faculty of Pharmacy, West Coast University, Los Angeles, California, United States

DOI:

https://doi.org/10.46542/pe.2026.261.456467

Keywords:

Consultation, In-person OSCE, Nonprescription medication, Prescription, Self-care, Virtual OSCE

Abstract

Background: This study compares virtual and in-person OSCEs by analysing two groups of first-year pharmacy students in hybrid and on-ground pathways. It assesses students’ ability to apply clinical knowledge and demonstrate patient counselling in Pharmacy Practice Foundations courses. 

Methods: The study compared the performance of first-year pharmacy students participating in Virtual OSCEs (n = 26) and In-Person OSCEs (n = 33) using standardised rubrics for prescription and Over-the-counter (OTC) consultations. A post-assessment survey was collected from students, evaluators, and standardised patients to gather feedback on each format, guiding optimisation of Virtual OSCEs.    

Results: Among In-Person OSCE participants, 89% achieved passing scores on their first attempt, while 91% of Virtual OSCE participants achieved passing scores. The survey (65% response rate) revealed that 94% of all those involved (including students, standardised patients, and faculty evaluators, n=79) were comfortable using video conferencing software. Students from both formats rated high confidence in clinical skills after the course (86% In-Person, 87% Virtual). No statistically significant difference in overall OSCE scores was detected between the virtual and in-person formats (Mann–Whitney U test, p = 0.179).     

Conclusion: Both virtual and in-person OSCEs in the Hybrid-PharmD program were well received, with no significant difference in performance. All groups responded positively. However, the small sample size limited the ability to detect differences, and the study wasn't designed to prove equivalence.

References

Chan, S. C. C., Choa, G., Kelly, J., Maru, D., & Rashid, M. A. (2023). Implementation of virtual OSCE in health professions education: A systematic review. Medical Education, 57(9), 833–843. https://doi.org/10.1111/medu.15089

Cheema, E., & Ali, M. (2021). It matters how we do it: A review of best practices of Observed Structured Clinical Examination in pharmacy education. Pharmacy Education, 21, 283–291. https://doi.org/10.46542/pe.2021.211.283291

Gortney, J. S., Fava, J. P., Berti, A. D., & Stewart, B. (2022). Comparison of student pharmacists' performance on in-person vs. Virtual OSCEs in a pre-APPE capstone course. Currents in Pharmacy Teaching and Learning, 14(9), 1116–1121. https://doi.org/10.1016/j.cptl.2022.07.026

Jenkins, D., Nashed, J. Y., & Touma, N. J. (2023). Virtual OSCE examinations during COVID-19 : A 360 satisfaction assessment from examiners and candidates. Canadian Urological Association Journal, 17(10), E315–8. https://doi.org/10.5489/cuaj.8332

Lim, A. S., Ling, Y. L., Wilby, K. J., & Mak, V. (2024). What's been trending with OSCEs in pharmacy education over the last 20 years? A bibliometric review and content analysis. Currents in Pharmacy Teaching and Learning, 16(3), 212–220. https://doi.org/10.1016/j.cptl.2023.12.028

Linder, K. E. (2017). Fundamentals of hybrid teaching and learning. New Directions for Teaching and Learning, 2017(149), 11–18. https://doi.org/10.1002/tl.20222

McCleary-Gaddy, A., Yu, E. T., & Spears, R. D. (2022). In-person, remote, or hybrid instruction? A quality improvement assessment of a six week interprofessional education pathway program for undergraduate pre-health students. Healthcare, 10(12), 2399. https://doi.org/10.3390/healthcare10122399

McGee, P., & Reis, A. (2012). Blended course design: A synthesis of best practices. Journal of Asynchronous Learning Networks, 16(4), 7–22. http://dx.doi.org/10.24059/olj.v16i4.239

Saeed, E., Hamad, M. H., Alhuzaimi, A. N.,..., Temsah, M-Het al. (June 03, 2024). Virtual Objective Structured Clinical Examination (OSCE) training in the pandemic era: Feasibility, satisfaction, and the road ahead. Cureus, 16(6), e61564. https://doi.org/10.7759/cureus.61564

Shirwaikar, A. (2015). Objective structured clinical examination (OSCE) in pharmacy education - a trend. Pharmacy Practice (Granada), 13(4), 627. https://doi.org/10.18549/PharmPract.2015.04.627

Singh, J., Steele, K., & Singh, L. (2021). Combining the best of online and face-to-face learning: Hybrid and blended learning approach for COVID-19, post-vaccine, & post-pandemic world. Journal of Educational Technology Systems, 50(2),140–171. https://doi.org/10.1177/00472395211047865

Song, Y. K., Chung, E. K., Lee, Y. S., Yoon, J. H., & Kim, H. (2023). Objective structured clinical examination as a competency assessment tool of students' readiness for advanced pharmacy practice experiences in South Korea: a pilot study. BMC Medical Education, 23(1), 231. https://doi.org/10.1186/s12909-023-04226-z

Wollen, J. T., Gee, J. S., Nguyen, K. A., & Surati, D. D. (2023). Development of a communication-based Virtual patient counseling objective structured clinical examination (OSCE) for first-year student pharmacists. PEC Innovation, 3, 100215. https://doi.org/10.1016/j.pecinn.2023.100215

Downloads

Published

30-09-2026

How to Cite

Hu, Y., Khartabil, N., Awaness, A., Batugo, M., Ofstad, W., & Khansari, P. (2026). Performance and perception of first-year pharmacy students in virtual vs. in-person OSCE. Pharmacy Education, 26(1), p. 456–467. https://doi.org/10.46542/pe.2026.261.456467

Issue

Section

Research Article