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Impact of structured training on medical students’ performance in objectively structured performance evaluation (OSPE) in Community Medicine clerkship

Ayesha Humayun, Hyder Ali Khan, Muhammad Imran Anwar, Aamir Omair, Tafazzul H Mahmud, Nasreen Ehsan, Naheed Humayun Sheikh.


Objectives: The aim of this study was to determine the effect of structured training on the student’s performance in the objectively structured performance evaluation (OSPE) at the end of the community medicine clerkship. Methodology: A quasi-experimental study was conducted using post-test only, non-equivalent control group design to assess the impact o f structured training on performance of medical students in OSPE in community medicine clerkship. A 45-station OSPE was conducted integrating all the domains of learning that is higher order cognitive domain, the psychomotor domain, and affective domain. Of 84 students rotating through the 2 weeks clerkship in the Community Medicine Department, 40 students (“trained” group) went through a structured training program. Results: Of the 40 students who underwent the structured training program 36 (90%) passed the OSPE when compared to 21 (48%) out of 44 who did not undergo the structured training (P < 0.001). This association of training with passing OSPE was significant in the sub-group of 44 female students (91% vs. 50%) as well as the 40 male students (89% vs. 45%) with regards to the trained versus the untrained groups (P = 0.001 and P = 0.002 respectively). An improved pass percentage was also seen in the trained group when compared within the sub-groups of students who had attended

Key words: Community Medicine training, objectively structured performance evaluation, performance of students

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