title: Clinical skills assessment: comparison of student and examiner assessment in an objective structured clinical examination.
abstract: BACKGROUND
  Learning of basic clinical skills is introduced in Years 1 and 2 of the MBBS Program; the Aga Khan University, Pakistan, through a structured Clinical Skills Teaching program. Acquisition of competence in performing these skills is assessed through use of the Objective Structured Clinical Examination (OSCE). Self-assessment is defined broadly as the involvement of learners in judging whether or not learner-identified standards have been met.
  
  
  OBJECTIVE
  Compared Year 2 students' self-assessment of clinical skills with examiners' assessment of performance in an OSCE using a standard rating scale.
  
  
  METHODS
  A self-assessment questionnaire was completed by all Year 2 students immediately after the OSCE. Students assessed their performance at three stations, using a performance rating scale. Examiners observed and evaluated the students during history-taking and physical examination using the same rating scale.
  
  
  RESULTS
  There were significant positive correlations between examiners' assessments of performance and students' self-assessed ratings in taking consent, obtaining demographic information, history of presenting problems and summarization. Significant differences were observed in pre-procedural skills, comment on prostate, liver palpation percussion and spleen percussion.
  
  
  CONCLUSIONS
  Findings highlight the strengths and weaknesses in clinical competence at the end of Year 2 and provide a direction to improve the gaps in the Clinical Skills Teaching program.
authors.affiliation: Dept. of Family Medicine AKUH Stadium Road Karachi Pakistan. firdous.jahan@aku.edu
authors.forename: F
authors.initials: F
authors.lastname: Jahan
authors.forename: S
authors.initials: S
authors.lastname: Sadaf
authors.forename: S
authors.initials: S
authors.lastname: Bhanji
authors.forename: N
authors.initials: N
authors.lastname: Naeem
authors.forename: R
authors.initials: R
authors.lastname: Qureshi
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D004504:Education, Medical, Undergraduate; D004521:Educational Measurement / Q000379:methods*; D005180:Faculty, Medical; D005260:Female; D006801:Humans; D008297:Male; D012647:Self-Assessment; D013337:Students, Medical; D011795:Surveys and Questionnaires; D013647:Task Performance and Analysis