Objective structured clinical examinations (OSCEs) for students' training and assessment in the French respiratory medicine departments in 2021: An overview

Etienne-Marie Jutant; Lucile Sesé; Maxime Patout; Jonathan Messika; Bernard Maître; Thomas Gille; Maeva Zysman

doi:10.1016/j.resmer.2022.100883

Objective structured clinical examinations (OSCEs) for students' training and assessment in the French respiratory medicine departments in 2021: An overview

Respir Med Res. 2022 May:81:100883. doi: 10.1016/j.resmer.2022.100883. Epub 2022 Mar 2.

Authors

Etienne-Marie Jutant¹, Lucile Sesé², Maxime Patout³, Jonathan Messika⁴, Bernard Maître⁵, Thomas Gille⁶, Maeva Zysman⁷

Affiliations

¹ Respiratory department, CHU de Poitiers, INSERM CIC 1402, ALIVES Research Group, University of Poitiers, Poitiers, France; INSERM UMR_S 999 «Pulmonary Hypertension: Pathophysiology and Novel Therapies», Hôpital Marie Lannelongue, Le Plessis-Robinson, Université Paris-Saclay, School of Medicine, Le Kremlin-Bicêtre, France; Assistance Publique - Hôpitaux de Paris (AP-HP), Department of Respiratory and Intensive Care Medicine, Pulmonary Hypertension National Referral Center, Hôpital Bicêtre, Le Kremlin-Bicêtre, France.
² Université Sorbonne Paris Nord, Bobigny, France; INSERM UMR 1272 " Hypoxia & the Lung", UFR SMBH Léonard de Vinci, Université Sorbonne Paris Nord, Bobigny, France; Hôpitaux Universitaires de Paris Seine-Saint-Denis, Assistance Publique - Hôpitaux de Paris (AP-HP), Department of Physiology and Functional Explorations, Bobigny, France. Electronic address: lucile.sese@aphp.fr.
³ AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, site Pitié-Salpêtrière, Service des Pathologies du Sommeil (Département R3S), F-75013 Paris, France; Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France.
⁴ APHP. Nord-Université de Paris, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018, Paris, France; Université de Paris, INSERM PHERE UMRS 1152, F-75018 Paris, France.
⁵ Univ Paris Est-Créteil, Faculté de Santé, INSERM, IMRB, Créteil, France; Pulmonary Department, Hôpital Intercommunal de Créteil, Créteil, France.
⁶ Université Sorbonne Paris Nord, Bobigny, France; INSERM UMR 1272 " Hypoxia & the Lung", UFR SMBH Léonard de Vinci, Université Sorbonne Paris Nord, Bobigny, France; Hôpitaux Universitaires de Paris Seine-Saint-Denis, Assistance Publique - Hôpitaux de Paris (AP-HP), Department of Physiology and Functional Explorations, Bobigny, France.
⁷ Pulmonary Department, CHU Haut-Lévèque, Bordeaux, France; Univ. Bordeaux, Centre de Recherche cardio-thoracique, INSERM U1045, CIC 1401. F-33600 Pessac, France.

PMID: 35247680
DOI: 10.1016/j.resmer.2022.100883

Abstract

Background: Medical professional performances can be assessed by objective structured clinical examinations (OSCEs) where medical trainees go through a series of simulated clinical situations. OSCEs are now the gold standard for the assessment of medical students' competence during their training. In France, the first national OSCEs will take place in May 2024 and respiratory teachers will be involved in this reform and will use OSCEs for students' training and assessment in respiratory medicine. Students training regarding this final OSCE may vary across medical faculties and may impact students' results. Therefore, we aimed to provide a national overview of OSCE's training performed by respiratory teachers and their interest in developing a common French databank of OSCEs.

Methods: We conducted a national anonymous online survey among the members of the French college of respiratory teachers (CEP), from 2021 February the 15th to 2021 June the 15th. The survey consisted of 32 questions.

Results: Among 118 French pulmonologists teachers, 52 (45%) responded to the survey. We received a response from at least one of each of the French Medical Universities. Twenty-two (42%) had received specific training on how to conduct an OSCE. Twenty-eight (54%) of respondents used OSCEs for training purposes and 24 (46%) for assessment purposes, for less than 1 year in more than half of the participants. The average satisfaction scores out of 10 about OSCEs was 7.3 ± 1.7 for training and 7.4 ± 1.5 for students' assessment. Respondents were willing (8.9 ± 1.8 out of ten) to develop a common databank to share OSCEs subjects in respiratory medicine in France.

Conclusions: This survey confirms heterogeneity in the training and the use of OSCEs among French respiratory teachers. However, a common national databank could be a useful tool to reduce these disparities.

Keywords: Competence; Medical teaching; Objective structured clinical examinations; Students’ assessment; Survey.

MeSH terms

Clinical Competence
Educational Measurement / methods
Humans
Physical Examination / methods
Pulmonary Medicine*
Students, Medical*