Comparison of students’ performance and attitude between collaboration testing and written examination of ethics course

Document Type : Original Article

Authors

1 Department of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Department of Occupational therapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract

Background: There is little evidence for the effective assessment of the ethical skills and behaviors of health professional students. Therefore, this study was aimed to compare students’ performance and attitude about ethics exam between collaboration testing and written assessment.
Method: In this Quasi-experimental interventional study, thirty-six fourth-year undergraduate students of physiotherapy and occupational therapy were recruited. The ethical content of the course was educated in the first semester 1400-1401. At the end of the semester, participants took the examination in a two-stage process of a descriptive question based on a clinical case. The first stage was held individually (written examination). Immediately after it, the students in groups of five discussed about the question and final responses were written on the question sheet (collaboration testing). Before beginning the examinations, three student attributes associated to the examinations were assessed using the survey, including self-efficacy, anxiety, and preparedness.
Results: Self-efficacy and preparedness, and testing scores were significantly greater in collaboration testing compared to written examination. In contrast, the anxiety level was significantly lower in the collaboration testing compared to written examination.
Conclusion: The present findings showed better performance and positive attitudes of students about ethics exam using collaboration testing.

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  1. Huang YS, Liu M, Huang CH, Liu KM. Implementation of an OSCE at Kaohsiung Medical University. Kaohsiung J Med Sci. 2007;23(4):161-9.
  2. Conn J, Elliott S. Harry potter and assessment. Clin Teach. 2005;2(1):31-6.
  3. Smee S. Skill based assessment. Bmj. 2003;326(7391):703-6.
  4. Shumway JM, Harden RM. AMEE Guide No. 25: The assessment of learning outcomes for the competent and reflective physician. Medical teacher. 2003;25(6):569-84.
  5. Pandey C, Kapitanoff S. The influence of anxiety and quality of interaction on collaborative test performance. Active Learning in Higher Education. 2011;12(3):163-74.
  6. Wiggs CM. Collaborative testing: Assessing teamwork and critical thinking behaviors in baccalaureate nursing students. Nurse educ today. 2011;31(3):279-82.
  7. Azim S, Shamim M. Educational theories that inform the educational strategies for teaching ethics in undergraduate medical education. JPMA. 2020;70(1):123-8.
  8. Mawere M. Critical reflections on the principle of beneficence in biomedicine. Pan Afr Med J. 2012;11(1).
  9. Mahajan R, Aruldhas BW, Sharma M, Badyal DK, Singh T. Professionalism and ethics: a proposed curriculum for undergraduates. Int J Appl Basic Med Res. 2016;6(3):157.
  10. Wong JG, Cheung EP. Ethics assessment in medical students. Med Teach. 2003;25(1):5-8.
  11. Mavis B. Self-efficacy and OSCE performance among second year medical students. Advances in health sciences education. 2001;6:93-102.
  12. Biran L. Self‐assessment and learning through GOSCE (group objective structured clinical examination). Med Educ. 1991;25(6):475-9.
  13. Gordon M, Uppal E, Holt K, Lythgoe J, Mitchell A, Hollins-Martin C. Application of the team objective structured clinical encounter (TOSCE) for continuing professional development amongst postgraduate health professionals. J Interprof Care. 2013;27(2):191-3.
  14. Stevenson EL, Gordon HA. Students as active learners and teaching partners in the clinical setting. Nurse educ. 2014;39(2):52-3.
  15. Robbins SB, Lauver K, Le H, Davis D, Langley R, Carlstrom A. Do psychosocial and study skill factors predict college outcomes? A meta-analysis. Psychol Bull. 2004;130(2):261.
  16. Ferreira ÉdMR, Pinto RZ, Arantes PMM, Vieira ÉLM, Teixeira AL, Ferreira FR, et al. Stress, anxiety, self-efficacy, and the meanings that physical therapy students attribute to their experience with an objective structured clinical examination. BMC Med Educ. 2020;20(1):1-9.
  17. Bandura A. From thought to action-mechanisms of personal agency. NZ J Psychol. 1986;15(1):1-17.
  18. Mavis B. Self-efficacy and OSCE performance among second year medical students. Advances in health sciences education. 2001;6(2):93-102.
  19. Minkley N, Westerholt D, Kirchner W. Academic self-concept of ability and cortisol reactivity. Anxiety Stress Coping. 2014;27(3):303-16.
  20. Dallmer D. Collaborative test taking with adult learners. Adult Learning. 2004;15(3-4):4-7.