ArticleBMC medical education2026
The first formal report on the design, implementation, and evaluation of the objective structured clinical examination (OSCE) to assess the clinical skills of clinical psychology students in Iran.
Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe objective of the present study was to provide the first formal report on the design, implementation, and evaluation of the Objective Structured Clinical Examination (OSCE) for assessing the clinical skills of clinical psychology students in Iran.
methodsThis analytical study encompassed all stages of designing, implementing, and evaluating a clinical psychology OSCE. The examination was conducted in 2024 at the Faculty of Welfare and Health Social Sciences, Islamic Azad University of Medical Sciences, Tehran, for all 90 final-year master’s students in clinical psychology. The clinical psychology OSCE consisted of nine separate stations. Each station was assessed via evaluation checklists previously developed by the university professors. After assessing the students, the test’s reliability and validity were examined. Students’ opinions on the examination were also analyzed quantitatively and qualitatively.
resultsThe results indicate that the test has appropriate validity and reliability. The mean scores for the evaluation, interview, hospital procedures, treatment, and overall score were 17.44 (SD = 1.68), 16.61 (SD = 2.98), 17.18 (SD = 2.27), 17.84 (SD = 1.94), and 17.26 (SD = 1.41) (out of 20 points), respectively. Additionally, various sections of the test showed a good correlation with the overall score obtained. The overall score was also significantly correlated with the total grade point average (GPA) of the master’s students (P < 0.001; r = 0.54), demonstrating the criterion validity of the test. The obtained Cronbach’s alpha among the scores of different sections of the test was 0.68, indicating an acceptable level of reliability. Quantitative and qualitative analyses of student feedback regarding the OSCE exam revealed the appropriateness of the method and execution, despite insufficient time at some stations, and lack of prior practice.
conclusionsAlthough the OSCE has rarely been utilized in clinical psychology within Middle Eastern countries, its structured assessment of practical skills makes it a suitable method for evaluating the clinical competencies of students in this field.
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