The validity of OSCE and lecture for occupational therapy clinical training



Theme
OSCE and Standard Setting
Category
OSCE
INSTITUTION
Bunkyo Gakuin University, Aichi Medical University

Background
- College Classes are organized Hierarchy on general subjects( 1stgrade), basic medicine ( 2nd), and OT specialized ( 3rd- 4th).
- OSCE before clinical training has been carried out once a year since 2009.
- This study aims to clarify the factor of success of Clinical Training from school class lecture and OSCE on Occupational Therapy (OT) Education.
School Classes (SC)
OSCE setting
Summary of Work
- Subjects were 172 university students completed 3rd of 4 grades.
- School classes (SCs) were divided into general, basic medicine, OT specialized, OT assessment methodology, and OT therapeutics.
- OSCE were on clinical skills of basic, observation, and interpretation.
- Scores of clinical training (SOCT) were on general instructional objects (GIOs) of 1 plan, 2 evaluation implementation, 3 acquisition of global image, 4 professional attitude, and others.
Summary of Results
Result 1: Relation of SCs and OSCE to SOCT
- OSCE Observation skills was correlated with SOCT GIO4 ~6 (r=0.173~0.385), OSCE total skills was correlated with SOCT GIO 2~4.
- SOCT GIO 1~5 were correlated with scores of general, basic medicine, OT specialized and OT therapeutics SCs (r=0.177~0.232).
Result2: Multiple regression analysis
- Multiple regression analysis showed positive contributions of OSCE basic skill (β=0.19) and observation skills (β=0.36) to SOCT total and GIO4, SC basic medicine (β=0.51) and OT assessment methodology (β=0.19) to SOCT total and GIO5.
Result 3: Covariance structure analysis
- Covariance structure analysis showed potential influences of general (0.63), basic medicine (0.76) and OSCE (0.65), but not assessment technology (0.11), on SOCT.
Conclusion
- Thi s study aims to clarify the factor of success of Clinical Training from school class lecture and OSCE on Occupational Therapy Education.
- At least, basic medicine and OSCE are the key for students to success in clinical training.
- Education of assessment technology needs to be improved in future.
Take-home Messages
- Understanding of general and basic medicine as well as OSCE is apparently pivotal for OT training.
Acknowledgement
Thanks very much for SP and the faculty of Occupational Therapists of Bunkyo Gakuin University, in conducting this OSCE.
References