Moving from long case to scenario-based clinical examination: Proposals for making it feasible.
Introduction: Our faculty used one long case (LC) and three short cases for the clinical component of the final professional examinations. During the COVID-19 pandemic, the LC had to be replaced with scenario-based clinical examination (SBCE) due to the impracticability of using recently hospit...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | en |
| Published: |
Medical Association Malaysia
2022
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| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/40770/1/Md%20Mizanur.pdf http://ir.unimas.my/id/eprint/40770/ http://www.e-mjm.org/2022/v77n6/scenario-based-clinical-examination.pdf |
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| Summary: | Introduction: Our faculty used one long case (LC) and three
short cases for the clinical component of the final
professional examinations. During the COVID-19 pandemic,
the LC had to be replaced with scenario-based clinical
examination (SBCE) due to the impracticability of using
recently hospitalised patients. While keeping the short case
component as usual, the LC had to be replaced with SBCE
in 2020 for the first time at a short notice. To evaluate the positive and negative aspects of SBCE and LC to determine the feasibility of replacing LC with SBCE in future examinations.
Materials and methods: We compared the LC scores of three
previous years with those of the SBCE and studied the
feedback of the three stakeholders: students, examiners,
and simulated patients (SPs), regarding their experience
with SBCE and the suitability of SBCE as an alternative for
LC in future examinations.
Results: The SBCE scores were higher than those of the LC.
Most of the examiners and students were not in favour of
SBCE replacing LC, as such. The SPs were more positive
about the proposition. The comments of the three
stakeholders brought out the plus and minus points of LC
and SBCE, which prompted our proposals to make SBCE
more practical for future examinations.
Conclusion: Having analysed the feedback of the
stakeholders, and the positive and negative aspects of LC
and SBCE, it was evident that SBCE needed improvements.
We have proposed eight modifications to SBCE to make it a
viable alternative for LC. |
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