Relationships between students' clinical experiences in introductory clinical courses and their performances on an objective structured clinical examination (OSCE)

Brian C Jolly, Alison Jones, Jane E Dacre, Margaret Elzubeir, Peter Kopelman, Graham Hitman

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

PURPOSE: To elucidate the link between the quantity and quality of clinical exposure gained by first-year clinical students in hospital settings and their performance on a subsequent comprehensive assessment of clinical skills (the objective structured clinical examination, or OSCE).
METHOD: Data relating to educational activities and workload were collected for the second introductory clinical attachment undertaken by 152 (of 246) students in two British medical colleges prior to a joint comprehensive 22-station OSCE administered in May 1994. Pearson correlation coefficients were used as the main analytical tool to study the relationships between measures of clinical activity and total OSCE scores.
RESULTS: In general, of 43 indices of the amount, nature, and quality of bedside, ward-based, or outpatient experience, only six correlated with OSCE scores. The strongest links were for whether students examined out-patients on their own (r = .2), whether the objectives had been made clear (r = .19) and the number of clinics attended (r = .18). Variables meeting the criteria were entered into a backwards stepwise regression analysis to predict total OSCE scores, but they explained only 23% of the variance.
CONCLUSION: The association between clinical experience and educational outcomes remains poorly understood.
Original languageEnglish
Pages (from-to)909-916
Number of pages8
JournalAcademic Medicine
Volume71
Issue number8
DOIs
Publication statusPublished - Aug 1996
Externally publishedYes

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