KNOWLEDGE RATHER THAN LANGUAGE PROFICIENCY AFFECTS ACHIEVEMENT SCORES IN INTERACTIVE OBJECTIVELY STRUCTURED PERFORMANCE EVALUATION
AbstractBackground: A common belief is that language proficiency might have affected the outcome scoresof the Oral Structured Performance Evaluation (OSPE) especially at the interactive stations. Theobjective of this study was to explore this postulation. Methods: The subject of BehaviouralSciences was examined for the first time as a component of undergraduate medical curriculum in 2ndProfessional Medical Examinations in 2007. Equal weightage was given to written and OSPEcomponents in the examination. The OSPE scores in the interactive component of all (1457)candidates were compared with their written scores in the subject of Behavioural Sciences as well astheir Higher Secondary School Certificate (HSSC) scores in the subject of English using MultipleLinear Regression Analysis in SPSS v.12. Results: Overall as well as in the Public MedicalColleges, relative to each other, knowledge of the subject as indicated by marks obtained in thewritten component of the examination exerted a positive and statistically significant (p<0.05), andcommand over language as indicated by marks obtained in the HSSC examination exerted a smallpositive but statistically insignificant (p=0.231 and 0.639 respectively) influence on the performanceof students in the interactive OSPE component. In the private medical colleges command overlanguage exerted a small negative but statistically insignificant (p=0.936) influence on theperformance of students in the interactive OSPE component of the examination. Conclusion:Command over the subject content is the best indicator of achievement in OSPE.Keywords: Objectively Structured Performance Evaluation, OSPE, Language Proficiency,Behavioural Sciences
Pine CM, McGoldrick PM. Application of behavioural sciences
teaching by UK dental undergraduates. Eur J Dent Educ
Croft P, White DA, Wiskin CM, Allan TF. Evaluation by dental
students of a communication skills course using professional
role-players in a UK school of dentistry. Eur J Dent Educ
Hannah A, Millichamp CJ, Ayers KM. A communication skills
course for undergraduate dental students. J Dent Educ
Hamdy H, Prasad K, Williams R, Salih FA. Reliability and
validity of the direct observation clinical encounter examination
(DOCEE). Med Educ 2003;37:205–12.
Hodges B, Regehr G, Hanson M, McNaughton N. Validation of
an objective structured clinical examination in psychiatry. Acad
Hodges B, Regehr G, Hanson M, McNaughton N. An objective
structured clinical examination for evaluating psychiatric clinical
clerks. Acad Med 1997;72:715–21.
Dewhurst NG, McManus C, Mollon J, Dacre JE, Vale AJ.
Performance in the MRCP (UK) Examination 2003–4: analysis
of pass rates of UK graduates in relation to self-declared ethnicity
and gender. BMC Med 2007;5:8.
Haq I, Higham J, Morris R, Dacre J. Effect of ethnicity and
gender on performance in undergraduate medical examinations.
Med Educ 2005;39:1126–8.
Rana MH, Ali S, Mustafa M. A Handbook of Behavioural
Sciences for Medical and Dental Students. Lahore: The Army
Laidlaw TS, Kaufman DM, MacLeod H, van Zanten S, Simpson
D, Wrixon W. Relationship of resident characteristics, attitudes,
prior training and clinical knowledge to communication skills
performance. Med Educ 2006;40:18–25.
O'Neill TR, Tannenbaum RJ, Tiffen J. Recommending a
minimum English proficiency standard for entry-level nursing. J
Nur Meas 2005;13(2):129–46.
J Ayub Med Coll Abbottabad 2009;21(2)
Chur-Hansen A, Vernon-Roberts J, Clark S. Language
background, English language proficiency and medical
communication skills of medical students. Med Educ
Regulations for Examinations. (2004). University of Health
Weinberg WA, Dietz SG, Penick EC, McAlister WH.
Intelligence, reading achievement, physical size and social class.
A study of St. Louis Caucasian boys aged 8-0 to 9-6 years,
attending regular schools. J Pediatr 1974;85(4):482–9.
Parkhurst C. A communication course for a linguistically diverse
student population. American J Pharmacol Educ 2007;71(2):36.
Boulet JR, van Zanten M, McKinley DW, Gary NE. Evaluating
the spoken English proficiency of graduates of foreign medical
schools. Med Educ 2001;35(8):767–73.