ArticleJMIR medical education2026
Exploring the Feasibility of an Examiner-Worn Neck-Mounted Camera for Objective Structured Clinical Examination Assessment: Pilot Feasibility Study.
Article in JMIR 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 Structured Clinical Examination (OSCE) is a prevalent method for evaluating clinical competence in medical education. As OSCEs become increasingly standardized and resource intensive, alternative evaluation methods are being explored, particularly because of the limited availability of certified examiners. However, few studies have investigated whether wearable technologies can support OSCE assessment. Wearable devices may provide a means of recording clinical skills from the examiner's perspective.
objectiveThis pilot study, conducted in 2024, aimed to investigate the feasibility of using an examiner-worn neck-mounted camera for recording OSCE scenarios and to evaluate the evaluability of clinical performance from the recorded footage.
methodsIn total, 9 experienced medical educators participated in a simulated OSCE scenario involving electrocardiogram lead placement. All participants completed the initial live assessment and the postuse questionnaire, while 8 of 9 (89%) participants completed the subsequent video-based reassessment. Video recordings from both a fixed camera and a neck-mounted camera (THINKLET) were used to assess the evaluability of each OSCE item. Following a washout period, evaluators reassessed the neck-mounted camera recordings by using the original checklist, while fixed-camera recordings were used to judge the evaluability of each item. Agreement between live and video-based scoring was analyzed using percent agreement and the Cohen κ coefficient. A postevaluation questionnaire captured evaluators' experiences with the wearable device.
resultsCohen κ ranged from 0.258 to 0.913 (mean 0.67, SD 0.20). Across checklist observations, more items were judged to be evaluable in the neck-mounted camera recordings than in the fixed-camera recordings, particularly for tasks requiring observation of fine motor skills. Evaluators reported generally positive experiences with the device, although some noted issues related to audio quality, comfort, posture restriction, and limited visibility at low angles.
conclusionsAlthough further investigation is needed, this pilot study suggests that an examiner-worn neck-mounted camera may be a valuable supplementary assessment tool for selected OSCE tasks. Further work is needed to refine the device, standardize recording protocols, and clarify how it can best support review and verification alongside live evaluation.
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