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Investigación en Educación Médica

2022, Number 42

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Inv Ed Med 2022; 11 (42)

Online objective structured clinical exam (Web-OSCE): perception of patients, evaluators and residents

Rivero-López CA, Pompa-Mansilla M, Trejo-Mejía JA, Martínez-González A

Language: Spanish
References: 33
Page: 9-18
PDF size: 462.22 Kb.


ABSTRACT

Introduction: In the context of the pandemic generated by SARS-CoV-2, clinical teaching has undergone important changes, from the cancellation of learning activities and reduction of rotations in the services, to the implementation of measures that allow students to continue learning.
Objective: To gain knowledge on the perception of patients, evaluators and first-year resident physicians in the specialty of family medicine, when performing a Web-ECOE.
Methods: Qualitative analysis. Population: four standardized patients, four trained evaluators and 20 resident physicians from 10 academic sites.
Results: Patients expressed that this modality of medical care is adequate and the feedback experience was positive, the evaluators commented that it’s an area of opportunity for them and the residents, and that medical care could be granted under this online concept, the residents perceived this strategy as adequate for their assesment, however, they agree on the limitation of the physical examination.


REFERENCES

  1. Dost S, Hossain A, Shehab M, Abdelwahed A, Al-Nusair L. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national crosssectional survey of 2721 UK medical students. BMJ Open. 2020;10(11):e042378. DOI: 10.1136/bmjopen-2020-042378

  2. Hodges C, Moore S, Lockee B, Trust T, Bond A. The Di- fference Between Emergency Remote Teaching and Online Learning. Educause. [Internet]. [citado el 12 de julio de 2021]. Disponible en: https://er.educause.edu/articles/2020/3/ the-difference-between-emergency-remote-teaching-andonline- learning

  3. Portillo-Peñuelas SA, Castellanos-Pierra LI, Reynoso-González OU, Gavotto-Nogales O. Enseñanza remota de emergencia ante la pandemia COVID-19 en Educación Media Superior y Educación Superior. Propósitos y Representaciones. 2020;8(SPE3): 589. DOI: http://dx.doi.org/10.20511/pyr2020.v8nSPE3.589

  4. Sánchez-Mendiola M. Educación en línea y la pandemia: ¡no más onfaloskepsis! Inv Ed Med. 2020;9(36):5-7. DOI: https:// doi.org/10.22201/fm.20075057e.2020.36.20320

  5. Hall AK, Nousiainen MT, Campisi P, Dagnone JD, Frank JR, Kroeker KI, et al. Training disrupted: Practical tips for supporting competency-based medical education during the COVID-19 pandemic. Med Teach. 2020;42(7):756-761. DOI: 10.1080/0142159X.2020.1766669

  6. Chandra S, Laoteppitaks C, Mingioni N, Papanagnou D. Zooming out COVID19: Virtual clinical experiences in an emergency medicine clerkship. Med Educ. 2020;54(12):1182- 1183. DOI: 10.1111/medu.14266

  7. Hopwood J, Myers G, Sturrock A. Twelve tips for conducting a virtual OSCE. Med Teach. 2020;43(6):633-636. DOI: 10.1080/0142159X.2020.1830961

  8. Palmer RT, Biagioli FE, Mujcic J, Schneider BN, Spires L, Dodson LG. The feasibility and acceptability of administering a telemedicine objective structured clinical exam as a solution for providing equivalent education to remote and rural learners. Rural Remote Health. 2015;15(4):3399. PMCID: PMC4763875 https://doi.org/10.22605/rrh3399

  9. Hannon P, Lappe K, Griffin C, Roussel D, Colbert-Getz J. An objective structured clinical examination: From examination room to Zoom breakout room. Med Educ. 2020;54(9):861- 861. DOI: 10.1111/medu.14241

  10. Itow RC. Fostering valuable learning experiences by transforming current teaching practices: practical pedagogical approaches from online practitioners. ILS. 2020;121(5/6):443- 452. DOI: https://doi.org/10.1108/ILS-04-2020-0106

  11. Handbook on Facilitating Flexible Learning During Educational Disruption: The Chinese Experience in Maintaining Undisrupted Learning in COVID-19 Outbreak. [Internet]. [Citado el 12 de julio de 2020]. Disponible en: https://iite.unesco.org/wp-content/ uploads/2020/03/Handbook-on-Facilitating-Flexible-Learningin- COVID-19-Outbreak-SLIBNU-V1.2-20200315.pdf

  12. Hytönen H, Näpänkangas R, Karaharju-Suvanto T, Eväsoja T, Kallio A, Kokkari A, et al. Modification of national OSCE due to COVID-19 – Implementation and students’ feedback. Eur J Dent Educ. 2021; eje.12646. DOI: https://doi. org/10.1111/eje.12646

  13. Majumder MAA, Kumar A, Krishnamurthy K, Ojeh N, Adams OP, Sa B. An evaluative study of objective structured clinical examination (OSCE): students and examiners perspectives. Adv Med Educ Pract. 2019. 5;10:387-397. DOI: 10.2147/AMEP.S197275

  14. Lim AS, Lee SWH, Karunaratne N, Caliph S. Students’ Perceptions of a New Learning Tool for Objective Structured Clinical Examination (OSCE) Virtual Experience. AJPE. 2020;ajpe7920. DOI: https://doi.org/10.5688/ajpe7920

  15. Elsalem L, Al-Azzam N, Jum’ah AA, Obeidat N, Sindiani AM, Kheirallah KA. Stress and behavioral changes with remote E-exams during the COVID-19 pandemic: A crosssectional study among undergraduates of medical sciences. Ann Med Surg (Lond). 2020;60:271-279. DOI: 10.1016/j. amsu.2020.10.058

  16. Harden RM, Liley P, Patricio M. The definitive Guide to the OSCE: The objective Structured Clinical Examination as a performance assessment. Edinburgh. Elsevier. 2016.

  17. Trejo-Mejía J, Blee-Sánchez G, Peña-Balderas J. Elaboración de estaciones para el examen clínico objetivo estructurado (ECOE). Inv Ed Med. 2014;3(9):56-59. DOI: 10.1016/S2007- 5057(14)72725-5

  18. Martínez-González A, Ponce-Rosas RE, Jiménez-Galván I, Yap-Campos K, Vega-Rodríguez MF, Rivero-López CA. La evaluación de la competencia clínica a través de un Web-ECOE: una experiencia de aplicación. Inv Ed Med. 2021;10(38):68-75. DOI: https://doi.org/10.22201/fm.20075057e.2021.38.21341

  19. Satriano C, Moscoloni N. Importancia del Análisis Textual como Herramienta para el Análisis del Discurso. Cinta de Moebio [Internet]. 2000;9:287-306. Disponible en: https:// www.redalyc.org/articulo.oa?id=10100905

  20. Jiménez EG, Gómez GR, Flores JG. Análisis de respuestas libres en los cuestionarios: El método de las especificaciones. RIE. 1996;14(1):129-148. Disponible en: https://revistas. um.es/rie/article/view/141212/127062

  21. Hannan TA, Umar SY, Rob Z, Choudhury RR. Designing and running an online Objective Structured Clinical Examination (OSCE) on Zoom: A peer-led example. Med Teach. 2021; 43(6):651-655. DOI: 10.1080/0142159X.2021.1887836

  22. Fouad S, Gouda E, Nasser AA, Kamal D. Perception of Students, Staff and Simulated Patients towards Objective Structured Clinical Examination (OSCE). EIMJ. 2019;11(2): 27-42. DOI: https://doi.org/10.21315/eimj2019.11.2.4

  23. Shankar PR, Dwivedi NN. Standardized patient’s views about their role in the teaching-learning process of undergraduate basic science medical students. J Clin Diagn Res. 2016;10(6):JC01. DOI: 10.7860/JCDR/2016/18827.7944

  24. Archibald MM, Ambagtsheer RC, Casey MG, Lawless M. Using Zoom videoconferencing for qualitative data collection: perceptions and experiences of researchers and participants. International Journal of Qualitative Methods. 2019;(18):1-8. DOI: https://doi.org/10.1177/1609406919874596

  25. Kakadia R, Chen E, Ohyama H. Implementing an online OSCE during the COVID-19 pandemic. J Dent Educ. 2020; 10.1002/jdd.12323. DOI: https://doi.org/10.1002/jdd.12323

  26. Khalaf K, El-Kishawi M, Adel-Moufti M, Al-Kawas S. Introducing a comprehensive high-stake online exam to final-year dental students during the COVID-19 pandemic and evaluation of its effectiveness. Med Educ Online. 2020; 25(1):1826861. DOI: 10.1080/10872981.2020.1826861

  27. Robinson P, Morton L, Haran H, Manton R. Mock OSCEs Improve Medical Students’ Confidence and Reduce Anxiety Related to Summative Examinations. Education in Medicine Journal. 2017;9(2):41-45. DOI: https://doi.org/10.21315/ eimj2017.9.2.4

  28. Young I, Montgomery K, Kearns P, Hayward S, Mellanby E. The benefits of a peer-assisted mock OSCE. Clin Teach. 2014;11(3):214-218. DOI: 10.1111/tct.12112

  29. Van Der Want AC, Bloemendaal PM, Van Der Hage JA. Examiners’ Perceptions in Surgical Education: The Blind Spot in the Assessment of OSCEs. J Surg Educ. 2021;78(2):590-596. DOI: 10.1016/j.jsurg.2020.07.024

  30. Jasim WM, Hassan ZA. A Comparative Study Between Nineveh and Tikrit Medical School Teachers Perceptions regarding the Effectiveness of OSCE in Clinical Examination. IJFMT. 2020; 15(1):1976-1983. DOI: https://doi.org/10.37506/ ijfmt.v15i1.13700

  31. Langenau E, Kachur E, Horber D. Web-based objective structured clinical examination with remote standardized patients and Skype: resident experience. Patient Educ Couns. 2014;96(1):55-62. DOI: 10.1016/j.pec.2014.04.016

  32. Sartori DJ, Olsen S, Weinshel E, Zabar SS. Preparing trainees for telemedicine: a virtual OSCE pilot. Med Educ. 2019;53(5): 517-518. DOI: 10.1111/medu.13851

  33. Craig C, Kasana N, Mosi A. Virtual OSCE Delivery – the way of the future? Med Educ. 2020;54(12):1185-1186. DOI: 10.1111/medu.14286




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