THE ASSESSMENT OF CLINICAL COMPETENCE IN OBSTETRICS AND GYNECOLOGY IN2 MEDICAL-SCHOOLS BY AN OBJECTIVE STRUCTURED CLINICAL EXAMINATION

Objective To compare and assess clinical competence among final year s tudents in two British medical schools using a standardised objective structured clinical examination (OSCE) in obstetrics and gynaecology. Design A comparative study of an OSCE with stations designed to test s tudent abilities in history-taking, physical examination, interpretati on of data or results, interpersonal skills, practical procedures, as well as factual knowledge. Subjects Two groups of final year medical s tudents from two British medical schools. Methods An OSCE of 26 statio ns. Results The standardised OSCE was simple to organise and conduct o nce the content had been decided. Analysis of the results revealed sig nificant differences in mean marks between the two sets of students in six stations, and in eight stations the mean score was less than five for one or other sets of students. The reasons for the differences be tween the medical schools and the poor performance of the students at some stations were investigated and possible causative factors identif ied. Conclusions We have shown that an OSCE is suitable for testing cl inical competence of students within and across medical schools, is ab le to highlight differences in standards between institutions, and can identify areas where teaching methods and/or course content are defic ient.