Students’ and Examiners’ Experiences of Their First Virtual Pharmacy Objective Structured Clinical Examination (OSCE) in Australia during the COVID-19 Pandemic

Objective Structured Clinical Examinations (OSCEs) are routinely used in healthcare education programs. Traditionally, students undertake OSCEs as face-to-face interactions to assess competency in soft skills. Due to physical distancing restrictions during COVID-19, alternative methods were required. This study utilized a mixed-method design (online survey and interviews) to evaluate second-year pharmacy students’ and examiners’ experiences of their first virtual OSCEs in Australia. A total of 196 students completed their first virtual OSCE in June 2020 of which 190 students completed the online survey. However, out of the 190 students, only 88% (n = 167) consented to the use of the data from their online survey. A further 10 students and 12 examiners were interviewed. Fifty-five students (33%) who participated in the online survey strongly agreed or agreed that they preferred the virtual experience to face-to-face OSCEs while 44% (n = 73) neither agreed nor disagreed. Only 20% (n = 33) felt more anxious with the virtual OSCEs. Additionally, thematic analysis found non-verbal communication as a barrier during the OSCE. Positive aspects about virtual OSCEs included flexibility, decreased levels of anxiety and relevance with emerging telehealth practice. The need for remote online delivery of assessments saw innovative ways of undertaking OSCEs and an opportunity to mimic telehealth. While students and examiners embraced the virtual OSCE process, face-to-face OSCEs were still considered important and irreplaceable. Future opportunities for OSCEs to be delivered both face-to-face and virtually should be considered.

[1]  J. Wens,et al.  Remote versus on-site proctored exam: comparing student results in a cross-sectional study , 2021, BMC medical education.

[2]  M. Temsah,et al.  Medical Faculty’s and Students’ Perceptions toward Pediatric Electronic OSCE during the COVID-19 Pandemic in Saudi Arabia , 2021, Healthcare.

[3]  D. Irawanto,et al.  Work from Home: Measuring Satisfaction between Work–Life Balance and Work Stress during the COVID-19 Pandemic in Indonesia , 2021, Economies.

[4]  Meredith L. Howard,et al.  Lessons learned pivoting to a virtual OSCE: Pharmacy faculty and student perspectives. , 2021, Currents in pharmacy teaching & learning.

[5]  M. Assemi,et al.  Implementation and evaluation of a virtual objective structured clinical examination for pharmacy students , 2021, JACCP: JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY.

[6]  Muhammad Eid Akkawi,et al.  Malaysian pharmacy students’ perspectives on the virtual objective structured clinical examination during the coronavirus disease 2019 pandemic , 2021, Journal of educational evaluation for health professions.

[7]  M. Brackbill,et al.  Moving Assessment Online: Experiences within a School of Pharmacy , 2021 .

[8]  Jacqueline E. McLaughlin,et al.  Remote OSCE Experience: What First Year Pharmacy Students Liked, Learned, and Suggested for Future Implementations , 2021, Pharmacy.

[9]  Jason M. Brunner,et al.  Transitioning Competency-Based Communication Assessments to the Online Platform: Examples and Student Outcomes , 2021, Pharmacy.

[10]  Erini S. Serag-Bolos,et al.  Protecting the Integrity of the Virtual Objective Structured Clinical Examination , 2021, American Journal of Pharmaceutical Education.

[11]  Vivienne Mak,et al.  EDITORIAL: The effects of the COVID-19 pandemic on pharmacy education, staff and students in an Australian setting , 2021, Pharmacy Education.

[12]  H. Hamdy,et al.  Distance assessment of counselling skills using virtual patients during the COVID-19 pandemic , 2021, Pharmacy Education.

[13]  Vivienne Mak Online objective structured clinical examination overview , 2021, BMJ Simulation & Technology Enhanced Learning.

[14]  K. Aditya,et al.  Students’ perception and preference for online education in India during COVID -19 pandemic , 2020, Social Sciences & Humanities Open.

[15]  Randy Martin,et al.  Systematic review of student anxiety and performance during objective structured clinical examinations. , 2020, Currents in pharmacy teaching & learning.

[16]  S. Gajarawala,et al.  Telehealth Benefits and Barriers , 2020, The Journal for Nurse Practitioners.

[17]  Adeel H. Suhail,et al.  Challenges of remote assessment in higher education in the context of COVID-19: a case study of Middle East College , 2020, Educational Assessment, Evaluation and Accountability.

[18]  Seife Dendir,et al.  Cheating in online courses: Evidence from online proctoring , 2020 .

[19]  L. Bonner Pharmacists Embrace Telehealth During COVID-19 , 2020 .

[20]  H. Ohyama,et al.  Implementing an online OSCE during the COVID‐19 pandemic , 2020, Journal of dental education.

[21]  Dalia Almaghaslah,et al.  The Effects of the 2019 Novel Coronavirus Disease (COVID-19) Outbreak on Academic Staff Members: A Case Study of a Pharmacy School in Saudi Arabia , 2020, Risk management and healthcare policy.

[22]  Ali Elbeddini,et al.  Pharmacist intervention amid the coronavirus disease 2019 (COVID-19) pandemic: from direct patient care to telemedicine , 2020, Journal of Pharmaceutical Policy and Practice.

[23]  Elham Monaghesh,et al.  The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence , 2020, BMC Public Health.

[24]  A. McConnachie,et al.  Gaining an advantage by sitting an OSCE after your peers: A retrospective study , 2018, Medical teacher.

[25]  Lee William Daffin,et al.  Comparing Student Performance on Proctored and Non-Proctored Exams in Online Psychology Courses , 2018 .

[26]  S. Davidson,et al.  A questionnaire study investigating undergraduate pharmacy students’ opinions on assessment methods and an integrated five-year pharmacy degree. , 2017 .

[27]  J. Cain,et al.  The Emerging Issue of Digital Empathy , 2016, American Journal of Pharmaceutical Education.

[28]  Linda J. Palm,et al.  Online Testing: Comparison of Online and Classroom Exams in an Upper-Level Psychology Course , 2015 .

[29]  M. Raven,et al.  Video-based telehealth in Australian primary health care: current use and future potential. , 2013, Australian journal of primary health.

[30]  J. Bensing,et al.  Effectiveness of empathy in general practice: a systematic review. , 2013, The British journal of general practice : the journal of the Royal College of General Practitioners.

[31]  Seewon Ryu Telemedicine: Opportunities and Developments in Member States: Report on the Second Global Survey on eHealth 2009 (Global Observatory for eHealth Series, Volume 2) , 2012, Healthcare Informatics Research.

[32]  J. Bensing,et al.  Analyzing the "nature" and "specific effectiveness" of clinical empathy: a theoretical overview and contribution towards a theory-based research agenda. , 2009, Patient education and counseling.

[33]  T. Utsugi,et al.  Doctor-patient communication: a comparison between telemedicine consultation and face-to-face consultation. , 2007, Internal medicine.