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Natl Med J India. 2018 Sep-Oct;31(5):293-295. doi: 10.4103/0970-258X.261197.

Performance of medical students in final professional examination: Can in-course continuous assessments predict students at risk?

Author information

1
Department of Obstetrics and Gynaecology, International Medical University, Seremban, Malaysia.
2
Department of Internal Medicine, International Medical University, Seremban, Malaysia.
3
Department of Paediatrics, International Medical University, Seremban, Malaysia.
4
Department of Family Medicine, International Medical University, Seremban, Malaysia.
5
Examination Division, International Medical University, Seremban, Malaysia.

Abstract

Background.:

Assessment drives students' learning. It measures the level of students' understanding. We aimed to determine whether performance in continuous assessment can predict failure in the final professional examination results.

Methods.:

We retrieved the in-course continuous assessment (ICA) and final professional examination results of 3 cohorts of medical students (n = 245) from the examination unit of the International Medical University, Seremban, Malaysia. The ICA was 3 sets of composite marks derived from course works, which includes summative theory paper with short answer questions and 1 of the best answers. The clinical examination includes end-of-posting practical examination. These examinations are conducted every 6 months in semesters 6, 7 and 8; they are graded as pass/fail for each student. The final professional examination including modified essay questions (MEQs), 1 8-question objective structured practical examination (OSPE) and a 16-station objective structured clinical examination (OSCE), were graded as pass/fail. Failure in the continuous assessment that can predict failure in each component of the final professional examination was tested using chi-square test and presented as odds ratio (OR) with 95% confidence interval (CI).

Results.:

Failure in ICA in semesters 6-8 strongly predicts failure in MEQs, OSPE and OSCE of the final professional examination with OR of 3.8-14.3 (all analyses p< 0.001) and OR of 2.4-6.9 (p<0.05). However, the correlation was stronger with MEQs and OSPE compared to OSCE.

Conclusion.:

ICA with theory and clinical examination had a direct relationship with students' performance in the final examination and is a useful assessment tool.

PMID:
31267998
DOI:
10.4103/0970-258X.261197

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