Safety, quality & education

A comparison of the American Board of Anesthesiology's in-person and virtual objective structured clinical examinations

J Clin AnesthPublished Retrospective comparative study

Authors' conclusion

Our retrospective analyses of first-time OSCEs found comparable candidate performance and examiner grading severity between the in-person and virtual formats, despite the virtual scenarios being more difficult than the in-person scenarios.

Study context

Population
First-time candidates of the American Board of Anesthesiology's Objective Structured Clinical Examination (OSCE) for initial certificationfirst-time candidates
Participants
2,934 vs 3,235
Exposure
Virtual vs in-person OSCE
  • Virtualn = 2,934
  • In-personn = 3,235reference
Outcome
Candidate performance, examiner grading severity and scenario difficulty (logits)
Methodological detailsMany-Facet Rasch Model, equated by common examiners and common scenarios
  • Many-Facet Rasch Model
  • Equated by common examiners and common scenarios

Main finding

As reported in the abstract

GroupValueScenario difficulty, n scenariosExaminer severity, n examinersCandidate performance
Virtualmean 0.21 (SD 0.38) logits35
In-personmean 0.00 (SD 0.69) logits93
In-personmean −0.01 (SD 0.82)390
Virtualmean −0.02 (SD 0.93)304
In-personmean 2.19 (SD 0.93)2.19
Virtualmean 2.18 (SD 0.92)2.18

Value

Virtualmean 0.21 (SD 0.38) logits
In-personmean 0.00 (SD 0.69) logits
In-personmean −0.01 (SD 0.82)
Virtualmean −0.02 (SD 0.93)
In-personmean 2.19 (SD 0.93)
Virtualmean 2.18 (SD 0.92)

Scenario difficulty, n scenarios

Virtual35
In-person93
In-person— not stated in the abstract
Virtual— not stated in the abstract
In-person— not stated in the abstract
Virtual— not stated in the abstract

Examiner severity, n examiners

Virtual— not stated in the abstract
In-person— not stated in the abstract
In-person390
Virtual304
In-person— not stated in the abstract
Virtual— not stated in the abstract

Candidate performance

Virtual— not stated in the abstract
In-person— not stated in the abstract
In-person— not stated in the abstract
Virtual— not stated in the abstract
In-person2.19
Virtual2.18
  • Virtual vs In-person: P = 0.01 — scenario difficulty; virtual more difficult; Welch's partially overlapping samples t-test
  • In-person vs Virtual: P = 0.81 — examiner severity; no statistically significant difference
  • In-person vs Virtual: P = 0.83 — candidate performance; no statistically significant difference

Observational data: associations, not effects.

Further findings

Candidate characteristics

Comparable in age, sex, race/ethnicity and US medical school graduation

Original publication

A comparison of the American Board of Anesthesiology's in-person and virtual objective structured clinical examinations. J Clin Anesth. Published 19 September 2023. doi:10.1016/j.jclinane.2023.111258

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