Table 3 Additional comments unrelated to questions during the focus group interview with students who underwent the objective structured clinical examination on planetary health
Additional comments regarding OSCE unrelated to the questions | |
|---|---|
Comment | Explanation |
Preparation of shadowers | • Shadowers reported that in the run-up to the OSCE they were not always sufficiently enabled (in time or properly) to assess the content-competence of the candidate, • Some shadowers were not aware that they were also required to give feedback on content-competence • Preliminary information in the form of numbered or bulleted lists was most appropriate |
The shadower as learner | • Shadowers learned by observing the examinee’s performance and through specific reading up inspired by the shadowed OSCE |
Shadowing can either improve or worsen one’s own OSCE performance | • Shadowing can give shadowers a knowledge advantage • Shadowing increases attention to time and structure • Shadowing can make shadowers insecure about their own performance as a candidate |
Feedback on communication skills varied considerably between individual examiners | • In most cases, performance was judged to be good, but suggestions for further development were lacking • Examiners might have done better if they had more time |
The establishment of fixed “triple teams” consisting of a candidate, an examiner, and shadower in all OSCE stations was proposed | • To improve the assessment of the candidate’s overall performance |