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Studentische Evaluation einer objektiven, strukturierten klinischen Prüfungsmethode (OSCE) im Fach Chirurgie und Orthopädie

Evaluation of an objective structured clinical examination (OSCE) in surgery and orthopedics by medical students

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Zusammenfassung

Hintergrund

Die Objective-structured-clinical-exam- (OSCE-)Methode ist eine etablierte Prüfungsform, die theoretische und praktische Fähigkeiten überprüft. Im Fach Chirurgie und Orthopädie wurde die OSCE bisher nur unzureichend evaluiert, insbesondere nicht durch die studentischen Testteilnehmer. Daher wurde in der vorliegenden Studie eine studentische OSCE-Evaluation durchgeführt.

Material und Methoden

Insgesamt wurden 304 Studenten geprüft. Die Studenten wurden in 2 Kohorten prospektiv mittels standardisiertem Fragebogen nach Angemessenheit, Ausgewogenheit, Verständlichkeit, Prüfungsatmosphäre, Schwierigkeitsgrad, klinischer Relevanz etc. sowie nach der Selbsteinschätzung der eigenen Prüfungsleistung und der Gesamtbeurteilung befragt. Es erfolgte eine deskriptive statistische Auswertung der Daten.

Ergebnisse

Die OSCE als Pflichtprüfung zeigte eine hohe Akzeptanz. Hervorgehoben wurde von den Studenten bei guter Gesamtbeurteilung die klinische Relevanz. Favorisierte Vorbereitungsstrategien waren die Famulatur und das Lehrbuch. Insgesamt wird von den Studenten die OSCE als zukünftige Prüfungsform bevorzugt.

Schlussfolgerung

Die Evaluation der OSCE im Fach Chirurgie und Orthopädie an der Universität Ulm durch die Medizinstudenten ergab eine hohe Akzeptanzrate. Die hoch eingeschätzte klinische Relevanz stellt die OSCE-Methode eindeutig als die meist gewünschte zukünftige Prüfungsform heraus.

Abstract

Background

The objective structured clinical exam (OSCE) has become an established form of examination. However, for general and orthopedic surgery it has barely been evaluated. Therefore, the present study was performed to analyze the OSCE in surgery by the students of the University of Ulm.

Material and methods

In total 304 medical students undertaking the OSCE were included in the study. The students were asked to fill out a standardized questionnaire which contained different evaluation parameters, such as test adequacy, comprehensibility, balance, difficulty, atmosphere and clinical relevance as well as self-assessment and overall rating.

Results

In the overall rating the OSCE was rated as having a clinical relevance. The preferred preparation strategies were the clinical traineeship and standard medical textbooks. Altogether, the OSCE was chosen as the preferred future examination method, followed by multiple choice testing and clinical practical examination.

Conclusion

The evaluation of the OSCE by the medical students at the University of Ulm showed a high acceptance rate as well as a high clinical relevance.

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Authors and Affiliations

  1. Klinik für Unfallchirurgie, Hand-, Plastische- und Wiederherstellungschirurgie, Zentrum für Chirurgie, Universitätsklinikum Ulm , Steinhövelstr. 9, 89075, Ulm, Deutschland

    M. Kalbitz, U. Liener, F. Gebhard &  M. Huber-Lang

  2. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Zentrum für Chirurgie, Universitätsklinikum Ulm, Ulm, Deutschland

    M. Kornmann

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  1. M. Kalbitz
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  2. U. Liener
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  3. M. Kornmann
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  4. F. Gebhard
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  5. M. Huber-Lang
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Corresponding author

Correspondence to M. Huber-Lang.

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M. Kalbitz und U. Liener teilen sich die Erstautorenschaft.

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Kalbitz, M., Liener, U., Kornmann, M. et al. Studentische Evaluation einer objektiven, strukturierten klinischen Prüfungsmethode (OSCE) im Fach Chirurgie und Orthopädie. Unfallchirurg 113, 726–733 (2010). https://doi.org/10.1007/s00113-009-1690-2

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