Medical student competence in ophthalmology assessed using the Objective Standardized Clinical Examination
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Date
2023-05
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
Purpose: To assess pre?clerkship and clerkship medical student performance in an ophthalmology Objective Standardized Clinical Examination (OSCE) station. Methods: One hundred pre?clerkship medical students and 98 clerkship medical students were included in this study. The OSCE station consisted of a common ocular complaint – blurry vision with decreased visual acuity – and students were asked to take an appropriate history, provide two or three differential diagnoses to explain the symptoms, and perform a basic ophthalmic examination. Results: Generally, clerks performed better than pre?clerks in the history taking (P < 0.01) and ophthalmic examination (P < 0.05) sections, with few specific exceptions. In the history?taking section, more pre?clerkship students asked about patient age and past medical history (P < 0.00001) and for the ophthalmic examination, more pre?clerkship students performed the anterior segment examination (P < 0.01). Interestingly, more pre?clerkship students were also able to provide two or three differential diagnoses (P < 0.05), specifically diabetic retinopathy (P < 0.00001) and hypertensive retinopathy (P < 0.00001). Conclusion: The performance of both groups was generally satisfactory; however, many students in both groups had scores that were unsatisfactory. Notably, pre?clerks also outperformed clerks in certain areas, which emphasizes the importance of revisiting ophthalmology content through clerkship. Awareness of such knowledge can allow medical educators to incorporate focused programs into the curriculum
Description
Keywords
Medical education, ophthalmology, OSCE
Citation
Patil Nikhil S, Bal Manpartap, Khan Yasser. Medical student competence in ophthalmology assessed using the Objective Standardized Clinical Examination. Indian Journal of Ophthalmology. 2023 May; 71(5): 2218-2221