Abstract
Decisions to set aside Structured Oral Examinations (SOE) are, almost invariably, based on their poor psychometric properties. However, considering the perspectives of the stakeholders might help us to understand its potential contribution. To explore this, we conducted focus groups and individual interviews with stakeholders: students, assessors, and administrators. Students and assessors perceived the SOE as a window on students’ clinical reasoning, as an authentic assessment, but as a subjective and stressful method. Administrators emphasized the organizational consequences such as logistical challenges. Consequences must be considered when making decisions about SOE and our results support important positive consequences.
References
Puppalwar PV, Rawekar A, Chalak A, Dhok A, Khapre M. Introduction of objectively structured viva-voce in formative assessment of medical and dental undergraduates in biochemistry. J Res Med Educ Ethics. 2014;4(3):321–5. https://doi.org/10.5958/2231-6728.2014.00912.3.
Khilnani AK, Charan J, Thaddanee R, Pathak RR, Makwana S, Khilnani G. Structured oral examination in pharmacology for undergraduate medical students: factors influencing its implementation. Indian J Pharmacol. 2015;47(5):546. https://doi.org/10.4103/2F0253-7613.165182.
Jefferies A, Simmons B, Ng E, Skidmore M. Assessment of multiple physician competencies in postgraduate training: utility of the structured oral examination. Adv Health Sci Educ. 2011;16(5):569–77. https://doi.org/10.1007/s10459-011-9275-6.
Hashim R, Ayyub A, Hameed S, Ali S. Structured viva as an assessment tool: perceptions of undergraduate medical students. Pak Armed Forces Med J. 2015;65(1):141–4.
Shenwai MR, Patil KB. Introduction of structured oral examination as a novel assessment tool to first year medical students in physiology. J Clin Diagn Res JCDR. 2013;7(11):2544. https://doi.org/10.7860/2FJCDR/2F2013/2F7350.3606.
Wass V, Wakeford R, Neighbour R, Van der Vleuten C. Achieving acceptable reliability in oral examinations: an analysis of the Royal College of General Practitioners membership examination’s oral component. Med Educ. 2003;37(2):126–31. https://doi.org/10.1046/j.1365-2923.2003.01417.x.
Daelmans HE, Scherpbier AJ, van der Vleuten CP, Donker AJ. Reliability of clinical oral examinations re-examined. Med Teach. 2001;23(4):422–4. https://doi.org/10.1080/01421590126522.
van der Vleuten CPM, Schuwirth LWT, Scheele F, Driessen EW, Hodges B. The assessment of professional competence: building blocks for theory development. Best Pract Res Clin Obstet Gynaecol. 2010;24(6):703–19. https://doi.org/10.1016/j.bpobgyn.2010.04.001.
Pernar LIM, Askari R, Breen EM. Oral examinations in undergraduate medical education - what is the ‘value added’ to evaluation? Am J Surg. 2020;220(2):328–33. https://doi.org/10.1016/j.amjsurg.2019.12.031.
Cook DA, Lineberry M. Consequences validity evidence: evaluating the impact of educational assessments. Acad Med. 2016;91(6):785–95. https://doi.org/10.1097/ACM.0000000000001114.
Varpio L, Martimianakis MA, Mylopoulos M. Qualitative research methodologies: embracing methodological borrowing, shifting and importing. In: Cleland J, Durning SJ, editors. Researching medical education. Wiley Online Library. 2015;245–56.
Etikan I, Musa SA, Alkassim RS. Comparison of convenience sampling and purposive sampling. Am J Theor Appl Stat. 2016;5(1):1–4. https://doi.org/10.11648/j.ajtas.20160501.11.
Clarke V, Braun V. Successful qualitative research: a practical guide for beginners. London: SAGE Publications. 2013.
Gupta S. Authentic assessment in medicine. J Postgrad Med Educ Res. 2019;53:42–4.
Ten Cate O, Regehr G. The power of subjectivity in the assessment of medical trainees. Acad Med. 2019;94(3):333–7. https://doi.org/10.1097/acm.0000000000002495.
Boursicot K, Etheridge L, Setna Z, Sturrock A, Ker J, Smee S, et al. Performance in assessment: consensus statement and recommendations from the Ottawa conference. Med Teach. 2011;33(5):370–83. https://doi.org/10.3109/0142159X.2011.565831.
Norcini J, Anderson MB, Bollela V, Burch V, Costa MJ, Duvivier R, et al. 2018 Consensus framework for good assessment. Med Teach. 2018;40(11):1102–9. https://doi.org/10.1080/0142159X.2018.1500016.
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We would like to thank the study participants who took the time to speak with us. We also thank the team of the Master Class on Writing Research for Publication for their support and relevant feedback.
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This study was funded by the Société des Médecins de l’Université de Sherbrooke. The views expressed herein are those of the authors and do not necessarily reflect those of the Société des Médecins de l’Université de Sherbrooke.
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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee: Comité d’éthique de la recherche (CÉR) – Éducation et sciences sociales, Université de Sherbrooke. Date of approval: October 1st, 2018. ID number: 2018–1792/Boulais.
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Boulais, I., Ouellet, K., Lachiver, E.V. et al. Considering the Structured Oral Examinations Beyond Its Psychometrics Properties. Med.Sci.Educ. 33, 345–351 (2023). https://doi.org/10.1007/s40670-023-01729-8
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DOI: https://doi.org/10.1007/s40670-023-01729-8