title: Remediating students' failed OSCE performances at one school: the effects of self-assessment, reflection, and feedback.
abstract: OBJECTIVE
  To investigate whether and how use of an online remediation system requiring reflective review of performance and self-assessment influenced students' performance on objective structured clinical examination (OSCE) station repeats (subsequent to failure on the first attempt) and their self-assessments of their performance (between the first and second attempts).
  
  
  METHODS
  Fourth-year medical students' performances on seven OSCE stations were videotaped at University of Michigan Medical School in 2006. Failing students took the exam again; remediation included self-assessment and review, plus faculty guidance for failures that were greater than one standard error of measurement of the distribution. A total of 1,171 possible observations of students' actual performance and performance self-assessments were analyzed using independent and dependent t tests and within-subjects ANOVA.
  
  
  RESULTS
  Results indicate statistically significant changes in students' performance between first and second attempts and statistically significant improvements in self-assessment between first and second attempts. No significant changes were found between self-assessed and faculty-guided remediation.
  
  
  CONCLUSIONS
  This study provides evidence that OSCE remediation combining review, reflection, and self-assessment has a salutary effect on (subsequent) performance and self-assessment of performance.
authors.affiliation: University of Michigan Medical School, Ann Arbor, Michigan 48109-5726, USA. bcwhite@umich.edu
authors.forename: Casey B
authors.initials: CB
authors.lastname: White
authors.forename: Paula T
authors.initials: PT
authors.lastname: Ross
authors.forename: Larry D
authors.initials: LD
authors.lastname: Gruppen
mesh_terms: D002983:Clinical Competence; D004504:Education, Medical, Undergraduate; D004521:Educational Measurement; D006801:Humans; D020407:Internet; D012073:Remedial Teaching / Q000379:methods*; D012647:Self-Assessment