Exploration of OSCE Results to Evaluate Medical Students’Progress on Learning Eye Examination in Clinical Skills Laboratory - Abstract

Sep 20, 2026

Objective Structured Clinical Examination (OSCE) was used annually to assess medical students’ clinical skills performance and indicate learning progress in the clinical skills laboratory, with a specific focus on eye examination competence. A cohort study compared first- and third-year OSCE results among medical students from the 2010 batch (n=185). OSCE Year 1 scores were compared with Year 3 using Mann–Whitney testing, and OSCE scores were correlated with clinical cases (e.g., visual acuity, visual field, and anterior/posterior segment examination) using Pearson correlation. Results showed significant improvement from Year 1 to Year 3 (median 66 to 80; p=0.00) and strong correlations with clinical cases (p=0.005).

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages6

Reading Time15 min

AccessFree to download

Abstract

Background

Objective

Methods

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Original Article Exploration of OSCE Results to Evaluate Medical Students’Progress on Learning Eye Examination in Clinical Skills Laboratory Widyandana, Angela Nurini Agni, Agus Supartoto, Suhardjo Yogyakarta Eye Study & Education (YES&E), Department of Ophthalmology, Faculty of Medicine Gadjah Mada University, Yogyakarta ABSTRACT Background: Medical student learn how to perform eye examinations since beginning in clinical skills laboratory. Objective Structured Clinical Examination (OSCE) was used to assess students’clinical skills performance every year and to indicate students’progress. To evaluate medical students’ clinical skills progress, and to evaluate OSCE of eye examination skills. Methods: A cohort study, involving first and third year OSCE results in Clinical Skills Laboratory, Faculty of Medicine GadjahMada Universityfrom medical students batch 2010 (n:185). The scores of OSCE Year 1 compared to Year 3 using Mann whitney test to explore the progress of students clinical skills performance. To correlate between OSCE scores with clinical cases used in OSCE (such as: visual aquity, visual field, segment anterior and posterior examination) using Pearsoncorrelation to evaluate the assessment process. Result: OSCE results show that medical studens give significant progress on their eye examination performance (median OSCE year 1=66, year 3=80; p=0.00). There is strong correlation between clinical cases during OSCE with students score (p=0.005) that show inequality ofdifficulty level ofcases, particularly for first year OSCE that used more detail check list instrument. Conclusion: Medical students show significant progress on their eye examination skills performance. OSCE process need to be improved, especially on developing clinical cases and check list as a scoring instrument. Keywords: medical students, eye examination, OSCE score Mahasiswa kedokteran belajar tentang pemeriksaan mata sejak dini di laboratorium keterampilan medis/skills lab. Hal ini sejalan dengan peranan skills lab untuk melatih keterampilan medismahasiswa kedokteran dalam memenuhi standarkompetensi selama jenjang strata 1.1,2 Hal tersebut sejalan dengan rekomendasi General Medical Council (GMC) tahun 2003, Tomorrow’s Doctor, yang menyebutkan bahwa selama proses belajar, kurikulum kedokteran harus dapat memberikan pengetahuan yang essensial, keterampilan, dan perilaku yang baik kepada mahasiswa hinggalulus.3 Selanjutnya, untuk menilai performa kete rampilan klinis setiaptingkatan tahunpembelajarandan untuk mengindikasikan kemajuan mahasiswa kedokteran, skills lab menyelenggarakan Objective Structured Clinical Examination (OSCE) . OSCE dikenalkan pertama kali oleh Harden4 pada tahun 1975. OSCE merupakan salah satu metode penilaian keterampilan klinis yang mengukur keterampilan mahasiswa pada tingkat mendemonstrasikan (Show how) sesuai dengan piramida.5 Dalam OSCE, mahasiswa diuji untuk setiap komponen keterampilan pada ruang ruang yang disebut dengan stasion.6 Mahasiswa berpindah dari stasion satu ke stasion yang laindalam waktu tertentu. Pada tiap tiap stasion, ada seorang penguji yang menilai seorang mahasiswadengan urutan rotasinya menggunakan lembar penilaian berupa ceklist yang obyektif.4 Pada Skills Lab Fakultas Kedokteran Universitas Gadjah Mada (FK UGM), pendidikan keterampilan medis diberikan secara longitudinal dalam seluruh tahapan kurikulum pendidikankedokteran strata 1. Masing masing topik di Skills Lab diberikan dalam beberapa tahapan, yaitu mahasiswa diajarkan ketrampilan klinikoleh seorang intruktur yang ahli/telah terlatih dan menguasai ketrampilan medis tertentu.7 Dalam latihan ini, mahasiswa dapat berlatih dengan menggunakan manekin, role play dengan teman, pasien simulasi, dan terjun langsung ke masyarakat. Masing masing topik diberikan dengan metode yang berbeda bedasesuai dengan karakteristik topik yang diajarkan. Setelah berlatih dengan instruktur, mahasiswadiberi kesempatan untuk berlatih secara mandi

FAQs

What was the aim of using OSCE in the clinical skills laboratory?

OSCE was used to evaluate students’ clinical skills performance each year and to indicate their progress, with attention to eye examination skills.

How did the study compare OSCE performance between years?

It compared first-year and third-year OSCE results using the Mann–Whitney test to explore progress in clinical skills performance.

What did the results show about students’ eye examination skills?

Students demonstrated significant progress, with median OSCE scores increasing from 66 in Year 1 to 80 in Year 3, and a strong correlation with the clinical cases used in OSCE.

Sep 20, 2026

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