About this paper

Appears in:
Pages: 1087-1092
Publication year: 2017
ISBN: 978-84-697-3777-4
ISSN: 2340-1117
doi: 10.21125/edulearn.2017.1228

Conference name: 9th International Conference on Education and New Learning Technologies
Dates: 3-5 July, 2017
Location: Barcelona, Spain

ANALYSIS OF THE RESULTS OF THE FOUR YEARS OF RUNNING OF AN OSCE IN PEDIATRICS, DO WE DO IT WELL?

M.A. Pino Vázquez1, E. Urbaneja Rodríguez1, R. Garrote Molpeceres1, A. Mayo Iscar1, R. Cuadrado Asensio2, B. Coco Martín3, A. Rodríguez Paredes1, H. González García1

1University of Valladolid (SPAIN)
2IOBA (SPAIN)
3University Miguel de Cervantes (SPAIN)
Introduction:
Since the academic year 2012-13, a Structured Objective Clinical Examination (OSCE) is a final exam of the Subject “Clinical Practice of Pediatrics” in the Faculty of Medicine of Valladolid. This examination was established within a Teaching Innovation Plan, in which one of the proposed objectives was not only to change the way of evaluating our students, also to analyze the changes, the consequences of the same ones annually and establish actions of improvement to implant in the following courses.

Material and methods:
The OSCE was done during these 4 years, in the month of June, at the end of the practices of the subject. The duration of the examination for the first 3 years was 4 hours, taking place over the course of 3 days, however, in the last course we did a mini OSCE, to adapt to the needs of the Faculty and reducing the duration of the same to 2: 30 h, being able to complete it in a single day in shift of morning and afternoon.
We analyzed the scores obtained in each of the OSCE stations, during the courses 2012/13, 2013/14, 2014/15 and 2015/16, of all the students who studied the subject “Clinical Practice of Pediatrics”, comparing the results of each year and between them and after the teaching changes introduced to detect areas with worse scores

Objectives:
Analyze the results of the students in an OSCE throughout 4 academic years.
Analyze the results in each of the stations after making changes in the teaching methodology
Establish new areas for improvement

Results:
If we analyze the 7 stations that have remained the same during the days, we objectified a statistically significant improvement between the results obtained in the first year and those of the last year. (See Table 1)

Table 1. Scores of stations
MEAN MEAN MEAN MEAN p value
YEAR 2013 2014 2015 2016
Station 1 83,19 78,01 79,91 83,84 0,30
Station 2 71,90 72,27 74,02 81,20 p<0.001
Station 3 66,96 59,13 62,75 79,95 p<0.001
Station 4 69,96 68,24 75,02 85,61 p<0.001
Station 5 84,43 91,68 82,47 85,60 0,31
Station 6 81,08 80,31 85,95 87,82 p<0.001
Station 7 75,97 73,57 77,22 80,14 p<0.001

“p value <0,05 “

The stations: 1,2 and 6, which value technical skills, received specific practical training, emphasizing each year in the deficits found in previous years, achieving better scores with statistically significant differences in two of them.
Regard to the stations which most valued professional performance in the clinical setting (3, 4 and 5), we aimed to improve the results in the two first OSCEs after implementing two new seminars that included techniques of anamnesis and physical exploration, these differences being statistically significant.
Regarding results obtained in the accomplishment of a bibliographical search, in spite of influencing its necessity and establishing the same as a mandatory task during the rotation, we have not achieved an improvement in the final score.

Conclusions:
The realization of an OSCE as final examination meant a change in the methodology of the Subject that should be analyzed. Analyzing the global results, by stations, between years, has served to detect areas for improvement. After each improvement action, the impact of these actions must be evaluated in the shortest possible time, thus establishing their effectiveness.
keywords: osce, pediatrics, score.
@InProceedings{PINOVAZQUEZ2017ANA,
author = {Pino V{\'{a}}zquez, M.A. and Urbaneja Rodr{\'{i}}guez, E. and Garrote Molpeceres, R. and Mayo Iscar, A. and Cuadrado Asensio, R. and Coco Mart{\'{i}}n, B. and Rodr{\'{i}}guez Paredes, A. and Gonz{\'{a}}lez Garc{\'{i}}a, H.},
title = {ANALYSIS OF THE RESULTS OF THE FOUR YEARS OF RUNNING OF AN OSCE IN PEDIATRICS, DO WE DO IT WELL?},
series = {9th International Conference on Education and New Learning Technologies},
booktitle = {EDULEARN17 Proceedings},
isbn = {978-84-697-3777-4},
issn = {2340-1117},
doi = {10.21125/edulearn.2017.1228},
url = {http://dx.doi.org/10.21125/edulearn.2017.1228},
publisher = {IATED},
location = {Barcelona, Spain},
month = {3-5 July, 2017},
year = {2017},
pages = {1087-1092}}
TY - CONF
AU - M.A. Pino Vázquez AU - E. Urbaneja Rodríguez AU - R. Garrote Molpeceres AU - A. Mayo Iscar AU - R. Cuadrado Asensio AU - B. Coco Martín AU - A. Rodríguez Paredes AU - H. González García
TI - ANALYSIS OF THE RESULTS OF THE FOUR YEARS OF RUNNING OF AN OSCE IN PEDIATRICS, DO WE DO IT WELL?
SN - 978-84-697-3777-4/2340-1117
DO - 10.21125/edulearn.2017.1228
PY - 2017
Y1 - 3-5 July, 2017
CI - Barcelona, Spain
JO - 9th International Conference on Education and New Learning Technologies
JA - EDULEARN17 Proceedings
SP - 1087
EP - 1092
ER -
M.A. Pino Vázquez, E. Urbaneja Rodríguez, R. Garrote Molpeceres, A. Mayo Iscar, R. Cuadrado Asensio, B. Coco Martín, A. Rodríguez Paredes, H. González García (2017) ANALYSIS OF THE RESULTS OF THE FOUR YEARS OF RUNNING OF AN OSCE IN PEDIATRICS, DO WE DO IT WELL?, EDULEARN17 Proceedings, pp. 1087-1092.
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