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Effect of a Formative Objective Structured Clinical Examination on the Clinical Performance of Undergraduate Medical Students in a Summative Examination: A Randomized Controlled Trial



To study the effect of formative Objective structured clinical examination (OSCE) on the undergraduate medical students’ performance in a subsequent summative-OSCE assessment.


In a randomized single-blind trial, 130 fifth year medical students at Raparin hospital, Erbil were assigned to intervention (n=61) and control group (n=69). Formative-OSCE was performed for the intervention group in pediatric module with feedback on their performance versus standard pediatric module for the control group. Students’ clinical performance was assessed by a summative-OSCE. Multiple regression was used to predict the summative-OSCE score depending on the participation in formative-OSCE along with the other factors.


Eleven students were excluded because of early drop-out, leaving 119 students for analysis. The summative-OSCE mean score (out of a total score of 100) in intervention group 64.6 (10.91) was significantly lower as compared to the control group 69.2 (10.45).


Single formative-OSCE does not necessarily lead to better performance in subsequent summative-OSCE.

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Funding: Hawler Medical University. No contribution to data design, collection, analysis or interpretation was made by the funding resource.

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Authors and Affiliations



Contributors: MI,NA,AA: study design and concept; NG was the trial coordinator and participated in data analysis and interpretation. NA: data collection, data entry and wrote the draft of manuscript. All authors critically reviewed and approved the manuscript.

Corresponding author

Correspondence to Nazdar Ezzaddin Alkhateeb.

Additional information

Competing Interest: None stated.

Ethical clearance: The study was approved by Ethics Committee of the College of Medicine of Hawler Medical University (document no.16, 23/4/2016)

Trial Registration: Clinical 035 99232.

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Alkhateeb, N.E., Al-Dabbagh, A., Ibrahim, M. et al. Effect of a Formative Objective Structured Clinical Examination on the Clinical Performance of Undergraduate Medical Students in a Summative Examination: A Randomized Controlled Trial. Indian Pediatr 56, 745–748 (2019).

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  • Assessment
  • Clinical competence
  • Educational measurement
  • Medical Eduation