Transforming Clinical Skills Training: Integrating OSCE into Team-Based Learning for teaching undergraduate medical students.

Objective: Team-Based Learning (TBL) approach primarily targets the cognitive domain and employs MCQs during iRAT and tRAT stages to promote active learning and problem-solving through collaborative teamwork. We adapted TBL for teaching the psychomotor domain by replacing MCQs with OSCEs during iRAT and tRAT and introducing self-assessment followed by feedback from peers and tutors on clinical skills performance. We assessed the effectiveness of adapted TBL approach on clinical skills performance through comparison with standard clinical teaching. Methodology: A Quasi-experimental study with a crossover design was carried out from August 2021-May 2022 at HITEC-Institute of Medical Sciences, Pakistan. The study involved two skills stations: obstetric examination & eclampsia drill. The 4 Results: The mean post-test scores of the experimental groups in both OSCE stations were significantly higher than those of the control groups (13.96±0.62 vs 10.34±0.61, p<0.001) and (13.60±0.52 vs 8.45±0.42, p<0. 001. There was no significant difference in the mean pre-test scores. Conclusions: Adapted TBL integrated with OSCE enhances clinical skill development in undergraduate medical students. The approach encourages both individual and team-based practice of clinical skills, along with structured opportunities for self-assessment and peer and tutor feedback.