[Clinical examination has impact on general well-being].
ABSTRACT Objective structured clinical examination (OSCE) is a new and professionally acknowledged examination used in the evaluation of medical students. Students have criticized OSCE for being unnecessarily stressful. This study examines the effects of OSCE on students, examiners and examination supervisors' general well-being.
A controlled prospective, non-blinded, single centre-study. Before and after OSCE all subjects filled in a structured questionnaire concerning nervousness, discomfort, fatigue, nausea, and pain.
A total of 119 students and 22 examiners and examination supervisors participated in the study. The students were overrepresented by women and were younger and healthier than the group of examiners/examination supervisors. The students experienced significantly more nervousness, discomfort, fatigue, and nausea before OSCE than the examiners/examination supervisors. After OSCE the students experienced a significant reduction of the symptoms while the examiners/examination supervisors reported a non-significant increase of nausea and pain. The students experienced significantly larger fluctuations (before and after values) in symptoms than the examiners/examination supervisors.
We found that OSCE made the students feel significantly better while examiners/examination supervisors felt only slightly worse. The effects of OSCE on examiners/examination supervisors have not been studied previously. There are most likely multiple factors to explain our findings in the present study.