Gaining an advantage by sitting an OSCE after your peers: A retrospective study
Gaining an advantage by sitting an OSCE after your peers: A retrospective study
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DOI：
10.1080/0142159x.2018.1458085
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发表时间：
2018-11-02
期刊：
影响因子：
4.7
通讯作者：
Ghouri, Nazim
中科院分区：
文献类型：
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作者：
Ghouri, Asim;Boachie, Charles;Ghouri, Nazim
目的：为了调查，如果最后一年的医学生在考试饮食的后期阶段进行欧安组织的站，他们的同龄人谁承担了同一站在较早的阶段，以及是否有任何这样的效果不同的学生的相对学术地位。方法：OSCE数据从连续六年的最后一年队列共1505名学生进行了分析。使用混合效应逻辑回归来模拟与通过每个车站的概率相关的因素（学生和电路的随机效应;以及固定效应，以评估与考试日期，时间，性别和年份的关联）。结果：较弱的学生更有可能通过，如果他们采取了他们的欧安组织在考试期间晚。通过车站的几率每天增加20%。总体而言，每个学生通过的站点的平均数量在5天内增加。结论：从统计数据来看，在考试后期进入欧安组织同一站的学生通过考试的机会比同龄人高，成绩差的学生似乎特别差。这些发现对OSCE的设计有重要意义，以确保学生不会被考试时间所困扰，并且较弱的学生不会“错误通过”。
Purpose: To investigate if final year medical students undertaking an OSCE station at a later stage during examination diet were advantaged over their peers who undertook the same station at an earlier stage, and whether any such effect varies by the student's relative academic standing. Methods: OSCE data from six consecutive final year cohorts totaling 1505 students was analyzed. Mixed effects logistic regression was used to model factors associated with the probability of passing each individual station (random effects for students and circuits; and fixed effects to assess the association with day of examination, time of day, gender and year). Results: Weaker students were more likely to pass if they took their OSCE later in the examination period. The odds of passing a station increased daily by 20%. Overall, the mean number of stations passed by each student increased over the 5 days. Conclusions: Students undertaking the same OSCE stations later in examination period statistically had higher chances of passing compared to their peers, and the weaker students appear to be particularly advantaged. These findings have major implications for OSCE design, to ensure students are not advantaged by examination timing, and weaker students are not "passing in error".