Volume 18, Issue 3 (2025)                   JMED 2025, 18(3): 109-117 | Back to browse issues page

Ethics code: As per the Tbilisi State Medical University Biomedical Research Ethics Committee, the study does not


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Chitaishvili D, Manjavidze I, Nozadze P, Otiashvili L. Impact of objective structured clinical examination scheduling (OSCE) timing on medical students' performance in obstetrics and gynecology. JMED 2025; 18 (3) :109-117
URL: http://edujournal.zums.ac.ir/article-1-2403-en.html
1- Tbilisi State Medical Univerisity , d.chitaishvili@tsmu.edu
2- Tbilisi State Medical Univerisity
Abstract:   (578 Views)

Background & Objective: This study checked whether the timing of the Objective Structured Clinical Examination (OSCE)—immediately following an Obstetrics and Gynecology (OB-GYN) clinical rotation versus at the end of the semester—affects medical students' performance.
Materials & Methods: A quasi-experimental, mixed-methods study was conducted at the Faculty of Medicine, Tbilisi State Medical University (TSMU), among seventh-semester medical students during the period 19-09-2022 to 01-03-2024. Participants completed an OB-GYN rotation and were assigned to one of two groups based on OSCE scheduling. Group B (n = 203) took the OSCE immediately following the rotation (3–6 days post-rotation), while Group A (n = 116) took the exam at the end of the semester (5–116 days post-rotation). Group A data were from the 2022–2023 academic year, while Group B followed the new scheduling system introduced in September 2023. Performance scores were compared between groups, and surveys captured perceptions of scheduling among students, faculty, and staff.
Results: While Group B achieved a higher average OSCE score (16.38) compared to Group A (15.85), the difference was not statistically significant (p > 0.05). However, immediate scheduling was linked to a much higher attendance rate in Group B (96.7%) compared to Group A (72.96%), suggesting improved engagement. Additionally, survey data showed that students in both groups reported similar levels of stress and perceived preparation time, showing that earlier scheduling did not adversely affect them. These findings suggest that although performance scores were comparable, immediate OSCE scheduling may offer practical advantages without hurting student experience.
Conclusion:  While OSCE timing did not yield a statistically significant difference in student performance, immediate scheduling was linked to practical benefits, such as higher attendance rates. Survey responses also showed comparable stress levels and perceived preparation time between groups. These findings support flexible OSCE scheduling to increase participation and match student preferences without lowering academic standards.

 

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Article Type : Orginal Research | Subject: Medical Education
Received: 2025/01/31 | Accepted: 2025/09/9 | Published: 2025/10/1

References
1. Dünne AA, Wilhelm T, Ramaswamy A, Zapf S, Hamer HM, Müller HH. Teaching and assessment in otolaryngology and neurology: does the timing of clinical courses matter? Eur Arch Otorhinolaryngol. 2006;263(7):630-4. [DOI:10.1007/s00405-006-0114-y] [PMID]
2. Harden RM, Gleeson FA. Assessment of clinical competence: an overview of recent developments. Med Educ. 1979;13(2):134-41. [DOI:10.1111/j.1365-2923.1979.tb00918.x]
3. Salerno A, Euerle BD, Witting MD. Transesophageal echocardiography training of emergency physicians through an e-learning system. J Emerg Med. 2020;58(6):947-52. [DOI:10.1016/j.jemermed.2020.03.036] [PMID]
4. Kovacs E, Birkás E, Takács J. The timing of testing influences skill retention after basic life support training: a prospective quasi-experimental study. BMC Med Educ. 2019;19:452. [DOI:10.1186/s12909-019-1881-7] [PMID] []
5. Boud D, Falchikov N. Rethinking assessment in higher education: learning for the longer term. London: Routledge; 2007. [DOI:10.4324/9780203964309]
6. Cepeda NJ, Pashler H, Vul E, Wixted JT, Rohrer D. Distributed practice in verbal recall tasks: a review and quantitative synthesis. Psychol Bull. 2006;132(3):354-80. [DOI:10.1037/0033-2909.132.3.354] [PMID]
7. Roediger HL, Butler AC. The critical role of retrieval practice in long-term retention. Trends Cogn Sci. 2011;15(1):20-7. [DOI:10.1016/j.tics.2010.09.003] [PMID]
8. Karpicke JD, Roediger HL. The critical importance of retrieval for learning. Science. 2008;319(5865):966-8. [DOI:10.1126/science.1152408] [PMID]
9. Balch WR, Acheson KA. The effects of retrieval practice on long-term memory: the influence of test timing and learning condition. J Exp Psychol Learn Mem Cogn. 2000;26(6):1714-25.
10. Baddeley AD, Hitch G. The recency effect: implicit learning with explicit retrieval? Mem Cognit. 1993;21(2):146-55. [DOI:10.3758/BF03202726] [PMID]
11. Alhamad H, Jaber D, Nusair MB, Albahar F, Edaily SM, Al-Hamad NQ, et al. Implementing OSCE exam for undergraduate pharmacy students: a two-institutional mixed-method study. Jordan J Pharm Sci. 2023;16(2):217-34. [DOI:10.35516/jjps.v16i2.1322]
12. Ariga R. Decrease anxiety among students who will do the objective structured clinical examination with deep breathing relaxation techniques. Open Access Maced J Med Sci. 2019;7(16):2619-22. [DOI:10.3889/oamjms.2019.409] [PMID] []
13. Chisnall B, Vince T, Hall S, Tribe R. Evaluation of outcomes of a formative objective structured clinical examination for second-year UK medical students. Int J Med Educ. 2015;6:76-83. [DOI:10.5116/ijme.5572.a534] [PMID] []
14. Cornelison B, Zerr B. Experiences and perceptions of pharmacy students and pharmacists with a community pharmacy‐based objective structured clinical examination. J Am Coll Clin Pharm. 2021;4(9):1085-92. [DOI:10.1002/jac5.1472]
15. Couto LB, Durand MT, Wolff ACD, Restini CBA, Faria M Jr, Romão GS, et al. Formative assessment scores in tutorial sessions correlate with OSCE and progress testing scores in a PBL medical curriculum. Med Educ Online. 2019;24(1):1560862. [DOI:10.1080/10872981.2018.1560862] [PMID] []
16. Rushood M, Al-Eisa A. Factors predicting students' performance in the final pediatrics OSCE. PLoS One. 2020;15(9):e0236484. [DOI:10.1371/journal.pone.0236484] [PMID] []
17. Zaric S, Belfield LA. Objective structured clinical examination (OSCE) with immediate feedback in early (Preclinical) stages of the dental curriculum. Creat Educ. 2015;6(6):585. [DOI:10.4236/ce.2015.66058]

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