Evidence map›Paper›PMID 40474168›Full record

ArticleBMC medical education2025

Evaluating construct validity of virtual osces in exceptional conditions.

Nadia Asmar, Nazih Y Youssef, Sandrella Bou Malhab, Sola Bahous, Vanda G Yazbeck Karam

Abstract readValidation Study
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nadia Asmar *Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University (LAU), Byblos, Lebanon.ORCID http://orcid.org/0009-0009-5951-8289
Nazih Y Youssef *Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University (LAU), Byblos, Lebanon. nazih.youssef@lau.edu.lb.ORCID http://orcid.org/0000-0002-8665-1431
Sandrella Bou MalhabGilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University (LAU), Byblos, Lebanon.ORCID http://orcid.org/0000-0002-3950-3022
Sola BahousGilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University (LAU), Byblos, Lebanon.ORCID http://orcid.org/0000-0002-7159-7559
Vanda G Yazbeck KaramGilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University (LAU), Byblos, Lebanon.ORCID http://orcid.org/0000-0001-8049-6816

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic posed significant challenges to medical education, requiring adaptations in assessment methodologies to maintain academic rigor and safety. Traditional in-person Objective Structured Clinical Examinations (OSCEs) posed challenges due to social distancing requirements, leading to the emergence of virtual OSCEs as viable alternatives. This study evaluates the construct validity of a virtual OSCE with a focus on its applicability during extraordinary circumstances.

methodsThe study involved 27 third-year medical students participating in a virtual OSCE comprising seven stations, each designed to assess critical clinical competencies such as history-taking, differential diagnosis, and communication skills. The OSCE's validity was assessed across four dimensions: content, response process, internal structure, and consequences, using psychometric and qualitative analyses.

resultsContent validity was ensured through alignment with a predefined blueprint and expert review of clinical scenarios. The response process was supported by comprehensive training for faculty and simulated patients (SPs), contributing to consistent scoring and comfort with the virtual format. Psychometric analysis showed a Cronbach's alpha of 0.67 across stations, indicating acceptable internal consistency. Consequential validity, assessed via the Borderline Regression Method (BRM) for setting cut-scores, highlighted fair and defensible decision-making. Despite technical challenges, no students failed the OSCE or their clerkship.

conclusionThe virtual OSCE has proven to be a valid, reliable, and feasible tool for assessing clinical competencies. Virtual OSCEs offer a scalable solution to sustain medical education continuity in resource-limited and geographically dispersed settings, paving the way for advancements in global competency-based assessments.

Indexed as

Clinical CompetenceCOVID-19Educational MeasurementEducation, Medical, UndergraduateFemaleHumansMalePandemicsPsychometricsReproducibility of ResultsSARS-CoV-2Students, MedicalVirtual RealityAssessmentConstruct validityCOVID-19Medical educationTelehealthVirtual OSCE

Identifiers

PMID40474168
PMCPMC12142897

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.