Trialing a new clinical clerkship record in Japanese clinical training

Background It is unclear how comprehensive evaluations conducted prior to clinical clerkships (CC), such as the objective structured clinical examination (OSCE) and computer-based testing (CBT), reflect the performance of medical students in CC. Here we retrospectively analyzed correlations between OSCE and CBT scores and CC performance. Methods Ethical approval was obtained from our institutional review board. We analyzed correlations between OSCE and CBT scores and CC performance in 94 medical students who took the OSCE and CBT in 2017 when they were 4th year students, and who participated in the basic CC in 2018 when they were 5th year students. Results Total scores for OSCE and CBT were significantly correlated with CC performance (P<0.001, each). More specifically, medical interview and chest examination components of the OSCE were significantly correlated with CC performance (P = 0.001, each), while the remaining five components of the OSCE were not. Conclusion Our findings suggest that the OSCE and CBT play important roles in predicting CC performance in Japanese medical education context. Among OSCE components, medical interview and chest examination were suggested to be important for predicting CC performance.

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“…CCs [13] [14]. In clinical settings, it is not rare to overlook physical findings or perform evaluations incorrectly.…”

Section: Plos Onementioning

confidence: 99%

Relationships between objective structured clinical examination, computer-based testing, and clinical clerkship performance in Japanese medical students

et al. 2020

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“…Of these competencies, medical chart documentation skills are considered to be very important [20,21]. Patient interviews and medical chart documentation are essential skills, and accurate documentation and evaluation allow medical students to collect the information required for appropriate diagnosis and treatment during their CC [22,23]. In the clinical setting, it is not rare to miss abnormal physical findings or to perform a critical evaluation incorrectly.…”

Section: Discussionmentioning

confidence: 99%

Correlation of student performance on clerkship with quality of medical chart documentation in a simulation setting

et al. 2021

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Background Medical chart documentation is an essential skill acquired in a clinical clerkship (CC). However, the utility of medical chart writing simulations as a component of the objective structured clinical examination (OSCE) has not been sufficiently evaluated. In this study, medical chart documentation in several clinical simulation settings was performed as part of the OSCE, and its correlation with CC performance was evaluated. Methods We created a clinical situation video and images involving the acquisition of informed consent, cardiopulmonary resuscitation, and diagnostic imaging in the emergency department, and assessed medical chart documentation performance by medical students as part of the OSCE. Evaluations were conducted utilizing original checklist (0–10 point). We also analyzed the correlation between medical chart documentation OSCE scores and CC performance of 120 medical students who performed their CC in 2019 as 5th year students and took the Post-CC OSCE in 2020 as 6th year students. Results Of the OSCE components, scores for the acquisition of informed consent and resuscitation showed significant correlations with CC performance (P<0.001 for each). In contrast, scores for diagnostic imaging showed a slightly positive, but non-significant, correlation with CC performance (P = 0.107). Overall scores for OSCE showed a significant correlation with CC performance (P<0.001). Conclusion We conducted a correlation analysis of CC performance and the quality of medical chart documentation in a simulation setting. Our results suggest that medical chart documentation can be one possible alternative component in the OSCE.

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Trialing a new clinical clerkship record in Japanese clinical training

Cited by 2 publications

References 6 publications

Relationships between objective structured clinical examination, computer-based testing, and clinical clerkship performance in Japanese medical students

Relationships between objective structured clinical examination, computer-based testing, and clinical clerkship performance in Japanese medical students

Correlation of student performance on clerkship with quality of medical chart documentation in a simulation setting

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