(1339) STANDARDISED CLINICAL EXAMINATION VIDEOS IN ORTHOPAEDICS - AN EFFECTIVE PRE-ASSESSMENT REVISION TOOL FOR UNDERGRADUATE MEDICAL STUDENTS

摘要

Introduction:Over the years, there have been controversies pertaining to undergraduate medical students over thevarious styles and methods of Orthopaedic clinical examinations as taught by the various clinicaltutors and texts. This has affected their performance during clinical assessment, which was conductedin the form of Objective Structured Clinical Examination (OSCE). Standardization of clinicalexamination techniques in Orthopedics, which primarily involves either fixing or following similarsequence and style through video demonstration, was believed to overcome this problem faced bystudents, alongside considerably reducing inconsistency in the assessment. Given that the examinerand the simulated patients used in the OSCE have been trained in a standardized manner, the recallcapability of the individual students would be the sole variable in student assessment. The authorsanalyzed the students' perception on the newly developed standardized videos as well as to compareperformance between those who attended the video workshop and those who did not.Methodology:A cross sectional prospective cohort study of third year undergraduate medical students wasconducted. Results were compared between students who attended the pre-OSCE workshop held 3days prior to the OSCE assessment showing the standardized clinical examination techniques videoand those who did not. Feedback based on the Likert scale was obtained from the post-workshopstudent and their performance at the end of OSCE was analyzed.Results:A total of 128 out of 260 medical students attended the workshop. Of these, 94.5% felt that the videoseries had successfully standardized the clinical examination techniques and 85.5% felt that theyhelped increase the understanding of common Orthopedic conditions. It was also found that 95.5%acknowledged the videos for their clarity in the explanation of the techniques and for its 'to- the -point'aspects. Most (90.9%) considered the videos to be relevant to the curriculum requirements and helpeda majority (84.5%) to conceptualize and understand common Orthopaedic clinical conditions. Studentswho attended the video workshop scored higher on average (74.01%) compared to those who did notattend (61.88%). In addition, students who attended the video workshop were more likely (37.2%) toreceive positive qualitative remarks from the examiners than those who did not attend (9.1%).Conclusions:The use of standardized videos of clinical examination in Orthopaedic gained positive perception fromundergraduate medical students and improved their performance in OSCE assessment, hence it issuggested an effective tool for pre-assessment revision.