Further concerns about self-assessment: are medical students aware of their progress in clinical skills during clerkship

Berendonk, Christoph; Perrig, Martin; Beyeler, Christine (September 2008). Further concerns about self-assessment: are medical students aware of their progress in clinical skills during clerkship. In: AMEE Association for Medical Education of Europe. Prag. 02.09.2008.

Background: Medical students do not accurately self-assess their competence. However, little is known about the awareness of
change of competence over time. The aim of this study was to evaluate if students are aware of their progress.
Summary of work: Twenty-two fourth year medical students had self- and expert-assessments of their clinical skills in musculoskeletal
medicine in an OSCE like station (4 point Likert scale) at the beginning (t0) and end (t1) of their eight weeks clerkship in internal
medicine. Thirteen students were assigned to the intervention of a 6x1 hour practical examination course; nine took part in the
regular clinical clerkship activities only and served as controls.
Summary of results/Conclusions: The intervention students significantly improved their skills (from 2.78 ± 0.36 to 3.30 ± 0.36, p<0.05)
in contrast to the control students (from 3.11 ± 0.58 to 2.83 ± 0.49, n.s.).
At t0, 19 students, at t1 21 out of 22 students underestimated their competence. Correlations between the change of self- and
expert-assessment were r=0.43, p<0.05 (all), r=0.47, n.s. (control) and r=-0.12, n.s. (intervention), respectively.
Take-home message: Medical students improving their clinical skills by an interactive course in addition to their regular clerkship
activities are not aware of their progress

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