Impact of hospital internships on success in university summative objective structured clinical examinations: Large-scale experience in a French medical school
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| Title: | Impact of hospital internships on success in university summative objective structured clinical examinations: Large-scale experience in a French medical school |
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| Authors: | Carsuzaa, Florent, Larid, Guillaume, Martin, Mickaël, Coudroy, Rémi, Vallée, Maxime, Paccalin, Marc, Brunet, Kévin, Jutant, Etienne-Marie |
| Contributors: | Laboratoire inflammation, tissus épithéliaux et cytokines UR 15560 (LITEC Poitiers ), Université de Poitiers = University of Poitiers (UP), Centre hospitalier universitaire de Poitiers = Poitiers University Hospital (CHU de Poitiers La Milétrie ), Laboratoire de neurosciences expérimentales et cliniques U 1084 (LNEC Poitiers ), Université de Poitiers = University of Poitiers (UP)-Institut National de la Santé et de la Recherche Médicale (INSERM), CIC Poitiers – Centre d'investigation clinique de Poitiers (CIC 1402), Université de Poitiers = University of Poitiers (UP)-Centre hospitalier universitaire de Poitiers = Poitiers University Hospital (CHU de Poitiers La Milétrie )-Direction Générale de l'Organisation des Soins (DGOS)-Institut National de la Santé et de la Recherche Médicale (INSERM), Pharmacologie des anti-infectieux et antibiorésistance U 1070 (PHAR2 Poitiers ), Université de Poitiers – UFR Santé Faculté de Médecine et de Pharmacie (UFR Santé Poitiers ) |
| Source: | ISSN: 1932-6203. |
| Publisher Information: | CCSD Public Library of Science |
| Publication Year: | 2024 |
| Collection: | Université de Poitiers: Publications de nos chercheurs.ses (HAL) |
| Subject Terms: | MESH: Adult, MESH: Clinical Competence, MESH: Schools, Medical, MESH: Students, Medical* / statistics & numerical data, MESH: Surveys and Questionnaires, MESH: Cross-Sectional Studies, MESH: Education, Undergraduate / methods, MESH: Educational Measurement* / methods, MESH: Female, MESH: France, MESH: Humans, MESH: Internship and Residency, MESH: Male, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie |
| Description: | International audience ; Background Objective structured clinical examinations (OSCEs) are extensively used in many medical schools worldwide with the stated objective to assess students’ clinical skills acquired during internships. The objective of the present study was to assess the factors associated with success in university summative OSCEs, especially the impact of previous hospital internships in corresponding disciplines and supervision during internships. Methods This was a cross-sectional study assessing the results in the summative OSCEs of 4 th year medical students during the 2021–2022 academic year in a French medical school. The summative OSCEs included five stations for each student. Each student answered a survey at the end of summative OSCEs about previous internships, the supervision they had and perceived difficulty levels for each station. The scores in each station were assessed according to previous hospital internships in the corresponding discipline. Analysis of predictive factors of success in OSCEs, defined by a score ≥ 10/20 at each station, were performed using univariate and multivariate logistic regression. Results Out of the 220 students participating in the summative OSCEs, 182 (83%) answered the survey. One hundred and forty-four (79%) of these students had carried out hospital internships in at least one of the disciplines evaluated during the OSCEs. Students having completed an internship in the corresponding discipline had significantly higher OSCEs scores for interrogation, communication, therapeutic education and procedure stations compared to those who had not. Previous internship in corresponding disciplines was independently associated with success in OSCEs in interrogation (OR 9.45 [1.34–66.8] p = 0.02), clinical examination (OR 6.93 [1.88–25.57] p = 0.004, and therapeutic education (OR 3.09 [1.22–7.82] p = 0.02) stations. Conclusion Previous hospital internships in the discipline evaluated by the OSCEs are associated with success in summative OSCEs. This reinforces the ... |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/38870194; PUBMED: 38870194; PUBMEDCENTRAL: PMC11175433 |
| DOI: | 10.1371/journal.pone.0302427 |
| Availability: | https://hal.science/hal-04659616 https://hal.science/hal-04659616v1/document https://hal.science/hal-04659616v1/file/journal.pone.0302427.pdf https://doi.org/10.1371/journal.pone.0302427 |
| Rights: | info:eu-repo/semantics/OpenAccess |
| Accession Number: | edsbas.92E84A3F |
| Database: | BASE |
Nájsť tento článok vo Web of Science | Abstract: | International audience ; Background Objective structured clinical examinations (OSCEs) are extensively used in many medical schools worldwide with the stated objective to assess students’ clinical skills acquired during internships. The objective of the present study was to assess the factors associated with success in university summative OSCEs, especially the impact of previous hospital internships in corresponding disciplines and supervision during internships. Methods This was a cross-sectional study assessing the results in the summative OSCEs of 4 th year medical students during the 2021–2022 academic year in a French medical school. The summative OSCEs included five stations for each student. Each student answered a survey at the end of summative OSCEs about previous internships, the supervision they had and perceived difficulty levels for each station. The scores in each station were assessed according to previous hospital internships in the corresponding discipline. Analysis of predictive factors of success in OSCEs, defined by a score ≥ 10/20 at each station, were performed using univariate and multivariate logistic regression. Results Out of the 220 students participating in the summative OSCEs, 182 (83%) answered the survey. One hundred and forty-four (79%) of these students had carried out hospital internships in at least one of the disciplines evaluated during the OSCEs. Students having completed an internship in the corresponding discipline had significantly higher OSCEs scores for interrogation, communication, therapeutic education and procedure stations compared to those who had not. Previous internship in corresponding disciplines was independently associated with success in OSCEs in interrogation (OR 9.45 [1.34–66.8] p = 0.02), clinical examination (OR 6.93 [1.88–25.57] p = 0.004, and therapeutic education (OR 3.09 [1.22–7.82] p = 0.02) stations. Conclusion Previous hospital internships in the discipline evaluated by the OSCEs are associated with success in summative OSCEs. This reinforces the ... |
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| DOI: | 10.1371/journal.pone.0302427 |