Evaluating the Predictive Validity of Objective Structured Clinical Examination (OSCE) Scores for Future Clinical Performance Among Final-Year Medical Students in Pakistan Article Swipe
Madiha Akhwand
,
Zainab Abdullah
,
Bilqis Hassan
,
Sarah Amin
,
Sadaf Abdullah
,
Humera Gohar
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.54393/pjhs.v6i9.3363
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.54393/pjhs.v6i9.3363
The Objective Structured Clinical Examination (OSCE) is widely used in medical education to assess students’ clinical skills. However, its ability to predict future clinical performance, known as predictive validity, remains debated. Objectives: To evaluate the predictive validity of OSCE scores for subsequent clinical performance among final-year medical students. Methods: This retrospective cohort study was conducted at a tertiary medical college in Pakistan. Data were collected for 80 final-year MBBS students, including total OSCE scores and domain-wise performance. Subsequent clinical performance was assessed using clerkship scores in Internal Medicine and Surgery, along with Mini-CEX, DOPS, 360-degree evaluations, and supervisor ratings. Pearson’s correlation and multiple linear regression were used to examine associations. Results: The mean OSCE score was 72.7 ± 7.8. Only the Internal Medicine Clerkship Score showed a statistically significant negative correlation with OSCE performance (r = –0.224, p=0.046). However, the effect size was small, and the clinical significance of this finding is questionable. The association may reflect random variation or unmeasured confounding and should be interpreted with caution. No other clinical outcomes showed significant correlations. Regression analysis revealed that none of the OSCE domains significantly predicted final clerkship scores. Conclusions: OSCE scores showed limited predictive value for subsequent clinical performance in this cohort. The results highlight the need to interpret statistically significant but weak associations with caution. Multimodal assessments combining OSCEs with workplace-based tools may offer a more comprehensive evaluation of clinical competence.
Related Topics
Concepts
Objective structured clinical examination
Medicine
Predictive validity
Cohort
Predictive value
Physical examination
Clinical clerkship
Correlation
Confounding
Regression analysis
Educational measurement
Retrospective cohort study
Cohort study
MEDLINE
Medical record
Clinical decision making
Family medicine
Medical history
Clinical trial
Linear regression
United States Medical Licensing Examination
Final examination
Predictive value of tests
Clinical Practice
Clinical psychology
Pearson product-moment correlation coefficient
Clinical significance
Regression
Clinical diagnosis
Physical therapy
Metadata
- Type
- article
- Landing Page
- https://doi.org/10.54393/pjhs.v6i9.3363
- http://thejas.com.pk/index.php/pjhs/article/download/3363/1783
- OA Status
- diamond
- References
- 18
- OpenAlex ID
- https://openalex.org/W7105878125
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7105878125Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.54393/pjhs.v6i9.3363Digital Object Identifier
- Title
-
Evaluating the Predictive Validity of Objective Structured Clinical Examination (OSCE) Scores for Future Clinical Performance Among Final-Year Medical Students in PakistanWork title
- Type
-
articleOpenAlex work type
- Publication year
-
2025Year of publication
- Publication date
-
2025-09-30Full publication date if available
- Authors
-
Madiha Akhwand, Zainab Abdullah, Bilqis Hassan, Sarah Amin, Sadaf Abdullah, Humera GoharList of authors in order
- Landing page
-
https://doi.org/10.54393/pjhs.v6i9.3363Publisher landing page
- PDF URL
-
https://thejas.com.pk/index.php/pjhs/article/download/3363/1783Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
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https://thejas.com.pk/index.php/pjhs/article/download/3363/1783Direct OA link when available
- Concepts
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Objective structured clinical examination, Medicine, Predictive validity, Cohort, Predictive value, Physical examination, Clinical clerkship, Correlation, Confounding, Regression analysis, Educational measurement, Retrospective cohort study, Cohort study, MEDLINE, Medical record, Clinical decision making, Family medicine, Medical history, Clinical trial, Linear regression, United States Medical Licensing Examination, Final examination, Predictive value of tests, Clinical Practice, Clinical psychology, Pearson product-moment correlation coefficient, Clinical significance, Regression, Clinical diagnosis, Physical therapyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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18Number of works referenced by this work
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