Abstract
Objective: A search for universal and particular changes in emotional, behavioral and cognitive assessments in relation to three types of examinations: an oral presentation, an objective structured clinical examination (OSCE) and a pencil and paper examination.
Methods: One hundred and two students of health professions completed the Profile of Mood States (POMS) questionnaire before (t1) and after (t2) each type of examination. Data regarding stress-related symptoms, attitudes, and preparation behavior were collected at (t2).
Results: POMS six subscales scores at (t1) did not differ by examination type and five of them were statistically significant higher at (t1) than (t2) regardless of examination type. “Preparing behavior” also emerged as a universal feature. As for the particular aspects of each examination, OSCE students felt more depression-dejection and fatigue at (t2) than at (t1). Oral presentation was perceived as the most difficult by students, who also reported more symptoms. For this type of examination, the students regained their confidence towards the end of the presentation and perceived classmates as most supportive and least disturbing. The pencil and paper examination was evaluated as the easiest by students, produced fewest symptoms and no excitement during the examination.
Conclusions: Three types of examinations, frequently used in health sciences, appeared to initiate different physical, emotional, and social reactions.
Similar content being viewed by others
References
D. Ben-Chiam U Zoller (1997) ArticleTitleExamination-type preferences of secondary school students and their teachers in the science disciplines Instructional Science 25 347–367
D. Ben-Chiam U Zoller (2001) ArticleTitleSelf perception versus students’ perception of teachers’ personal style in college science and mathematics courses Research in Science Education 31 437–454
Z. Ben-Sira (1979) ArticleTitleA scale of psychological distress. Research Communication in Psychology Psychiatry and Behavior 4 337–356
M. Biondi P Pancheri (1995) Clinical research strategies in psychoneuroimmunology: a review of 46 human research studies B.E. K. Leonard Miller (Eds) Stress, the immune system and psychiatry Wiley & Sons Chichester 85–112
S. Cohen N. Hamrick M. S. Rodriguez P.J. Feldman B.S. Rabin S.B. Manuck (2000) ArticleTitleThe stability of and intercorrelations among cardiovascular, immune, endocrine, and psychological reactivity Annals of Behavioral Medicine 22 171–179 Occurrence Handle10.1007/BF02895111
R.H. Crouse J.L. Deffenbacher G.A Frost (1985) ArticleTitleDesensitization for students with different sources and experiences of test anxiety Journal of College Student Personnel 26 315–318
S. Eady (1999) ArticleTitleAn investigation of possible correlation of general anxiety with performance in eleven plus scores in year 6 primary school pupil Educational Psychology 19 347–359
R. Glaser G.R. Pearson J.F. Jones J. Hillhouse S. Kennedy H.Y. Mao J.K Kiecolt-Glaser (1991) ArticleTitleStress-related activation of Epstein-Barr virus Brain Behavior and Immunity 5 219–32 Occurrence Handle10.1016/0889-1591(91)90018-6
S.L. Goldman D.T. Kraemer P Salvoy (1996) ArticleTitleBeliefs about mood moderate the relationship of stress to illness and symptom reporting Journal of Psychosomatic Research 41 115–28 Occurrence Handle10.1016/0022-3999(96)00119-5
R.M. Harden M. Stevenson W.W. Downie G.M Wilson (1975) ArticleTitleAssessment of clinical competence using objective structured examination British Medical Journal 1 447–451 Occurrence Handle10.1136/bmj.1.5955.447
T.H. Holmes R.H Rahe (1967) ArticleTitleHolmes-Rahe life changes scale Journal of Psychosomatic Research 11 213–218 Occurrence Handle10.1016/0022-3999(67)90010-4
D.H. Kang C Fox (2001) ArticleTitleTh1 and Th2 cytokine responses to academic stress Research in Nursing & Health 24 245–257 Occurrence Handle10.1002/nur.1027
V. Ng D. Koh B.Y. Mok S.E. Chia L.P Lim (2003) ArticleTitleSalivary biomarkers associated with academic assessment stress among dental undergraduates Journal of Dental Education 67 1091–1094
M. Maes M. Planken ParticleVan Der A. Gastel ParticleVan K. Bruyland F. Hunsel ParticleVan H. Neels D. Hendriks A. Wauters P. Demedts A. Janca S. Scharpe (1998) ArticleTitleInfluence of academic examination stress on hematological measurements in subjectively healthy volunteers Psychiatry Research 80 201–212 Occurrence Handle10.1016/S0165-1781(98)00059-6
F.D. McCormick M.S Whittington (2000) ArticleTitleAssessing academic challenges for their contribution to cognitive development Journal of agriculture education 41 114–116
D.M. McNair M. Lorr L.E Dropplemanm (1971) Profile of Mood States Manual. Educational and Industrial Testing Servi San Diego, CA
M. Mikulincer (1989) ArticleTitleCoping and learned helplessness: effects of coping strategies on performance following unsolvable problems European Journal of personality 3 181–194
N.G. Nelson C. Dell'Oliver C. Koch R Buckler (2001) ArticleTitleStress,coping, and success among graduate students in clinical psychology Psychological Report 88 759–767
O. Sarid O. Anson A. Yaari M Margalith (2001) ArticleTitleEpstein- Barr virus specific salivary antibodies as related to stress caused by examinations Journal of Medical Virology 64 149–156 Occurrence Handle10.1002/jmv.1030
Q. Sarid O. Anson A. Yaari M Margalith (2002) ArticleTitleHuman cytomegalovirus salivary antibodies as related to stress Clinical Laboratory 48 297–305
O. Sarid O. Anson A. Yaari M Margalith (2004) ArticleTitleCoping styles and changes in humoral reaction during academic stress Psychology, Health & Medicine 9 85–98
S.L. Silberman H. Runyon L.R Martin (1980) ArticleTitleThe use of audiovisual procedures in evaluating oral diagnostic and treatment planning skills of dental students Journal of Dental Education 44 211–214
A. Steptoe J. Wardle T.M. Pollard L Canaan (1996) ArticleTitleStress, social support and health-related behavior: a study of smoking, alcohol consumption and physical exercise Journal of Psychosomatic Research 41 171–180 Occurrence Handle10.1016/0022-3999(96)00095-5
J.R. Stowell (2003) ArticleTitleUse and abuse of academic examination in stress research Psychosomatic Medicine 65 1055–1057 Occurrence Handle10.1097/01.PSY.0000097349.84109.1F
THE ICD-10 (1992). Classification of mental and behavioral disorders. Clinical descriptions and diagnostic guidelines. World Health Organization (WHO), pp. 148–152
A.H. Townsend S. McLlvenny C.J. Miller E.V Dunn (2001) ArticleTitleThe use of an objective structured clinical examination (OSCE) for formative and summative assessment in a general practice clinical attachment and its relationship to final medical school examination performance Medical Education 35 841–6 Occurrence Handle10.1046/j.1365-2923.2001.00957.x
T.M. Wolf S.S. Heller C.J. Camp J.M Faucett (1995) ArticleTitleThe process of coping with a gross anatomy exam during the first year of medical school British Journal of Medical Psychology 68 85–87
R.R. Zartman A.G. McWhorter N.S. Seale W.J Boone (2002) ArticleTitleUsing OSCE-based evaluation: curricular impact over time Journal of Dental Education 66 1323–30
M. Zeidner (1995) ArticleTitleAdaptive coping with test situations: a review of the literature Educational Psychologist 30 123–133 Occurrence Handle10.1207/s15326985ep3003_3
U. Zoller D Ben-Chiam (1989) ArticleTitleInteraction between examination type,, anxiety state, and academic achievement in college science; an action-oriented research Journal of Research in Science Teaching 26 65–77
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sarid, O., Anson, O. & Bentov, Y. Students’ Reactions to Three Typical Examinations in Health Sciences. Adv Health Sci Educ Theory Pract 10, 291–302 (2005). https://doi.org/10.1007/s10459-005-6706-2
Issue Date:
DOI: https://doi.org/10.1007/s10459-005-6706-2