Evidence map›Paper›PMID 41250101›Full record

ArticleBMC medical education2025

Feasibility and utility of objective structured clinical examination (OSCE) as an end-of-internship assessment of MBBS training in a medical college in Southern India.

Jananee Muralidharan, Sanjiv Lewin, Suneetha Nithyanandam, John Stephen, Mary Joseph, Lakshmi Ta, Pretesh Rohan Kiran, Nachiket Shankar, Sumithra Selvam, Prem Mony

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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.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Comparison of Intern Doctors and ChatGPT in Emergency Cases Assessment.Journal of clinical practice and research · 2026
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Jananee MuralidharanDepartment of Medicine, St. John's Medical College Hospital, St. John's National Academy of Health Sciences, Bangalore, India. jananeemuralidharan@gmail.com.
Sanjiv LewinFaculty, Department of Medical Education, St. John's Medical College Hospital, St. John's National Academy of Health Sciences, Bangalore, India.
Suneetha NithyanandamFaculty, Department of Medical Education, St. John's Medical College Hospital, St. John's National Academy of Health Sciences, Bangalore, India.
John StephenFaculty, Department of Medical Education, St. John's Medical College Hospital, St. John's National Academy of Health Sciences, Bangalore, India.
Mary JosephFaculty, Department of Medical Education, St. John's Medical College Hospital, St. John's National Academy of Health Sciences, Bangalore, India.
Lakshmi TaFaculty, Department of Medical Education, St. John's Medical College Hospital, St. John's National Academy of Health Sciences, Bangalore, India.
Pretesh Rohan KiranFaculty, Department of Medical Education, St. John's Medical College Hospital, St. John's National Academy of Health Sciences, Bangalore, India.
Nachiket ShankarFaculty, Department of Medical Education, St. John's Medical College Hospital, St. John's National Academy of Health Sciences, Bangalore, India.
Sumithra SelvamClinical Informatics, Atropos Health, New York, NY, USA.
Prem MonyFaculty, Department of Medical Education, St. John's Medical College Hospital, St. John's National Academy of Health Sciences, Bangalore, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe undergraduate MBBS course (Bachelor of Medicine, Bachelor of Surgery) in India is designed to produce competent Indian Medical Graduates (IMGs) capable of addressing community health needs. The preparedness of these graduates for clinical practice remains a crucial area of investigation. Objective Structured Clinical Examinations (OSCEs) have emerged as a robust assessment tool for evaluating clinical competencies. This study aims to assess the feasibility and utility of the OSCE when used as an end-of-internship evaluation, describe temporal trends in OSCE performance, and analyze the correlation between OSCE scores and final-year MBBS examination results over a six-year period at a center in South India.

methodsA descriptive study was conducted at a medical college in South India, involving six batches of students (2017-2023; n = 469). OSCE stations were designed to assess cognitive, psychomotor, and affective domains. The feasibility and utility of this exercise was assessed. OSCE scores were analyzed across domains and subdomains, and correlations with final-year MBBS examination scores were explored using Pearson's correlation coefficient. Statistical significance was set at p < 0.05.

resultsThe OSCE was found to be a resource-intensive evaluation, requiring 528 faculty-hours for a batch of 60 students and 843 faculty-hours for a batch of 150. The mean OSCE score was 61.3 ± 8.0%, with the highest performance in the affective domain (72.1 ± 14.2%) and the lowest in the cognitive domain (50.0 ± 15.4%). Notably, psychomotor skills were inversely correlated with cognitive skills (-0.41, p < 0.001). OSCE scores were weakly correlated with final-year MBBS examination marks (r = 0.44, p < 0.001), with stronger correlations in smaller batches (r = 0.57, p < 0.001) than larger ones (r = 0.44, p < 0.001). The COVID-19 pandemic and increased batch sizes negatively impacted clinical and technical skill performance.

conclusionIt is feasible to conduct OSCEs as an end of internship assessment in a medical college. OSCEs serve as a comprehensive assessment tool, underscoring the importance of multi-modal evaluation strategies. Conducting OSCEs serves as an appropriate assessment of the MBBS training programme so as to subsequently tailor the programme according to performance in various subjects, domains and subdomains.

Indexed as

Clinical CompetenceEducational MeasurementEducation, Medical, UndergraduateInternship and ResidencyFeasibility StudiesHumansIndiaFaculty hoursFinal year exam correlationMBBS assessmentObjective Structured Clinical Examination

Identifiers

PMID41250101
PMCPMC12625578

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LicenceCC BY-NC-ND
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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.