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Research article
Correlation between task-based checklists and global rating scores in undergraduate objective structured clinical examinations in Saudi Arabia: a 1-year comparative study  
Uzma Khan, Yasir Naseem Khan
J Educ Eval Health Prof. 2025;22:19.   Published online June 19, 2025
DOI: https://doi.org/10.3352/jeehp.2025.22.19
  • 4,097 View
  • 252 Download
AbstractAbstract PDFSupplementary Material
Purpose
This study investigated the correlation between task-based checklist scores and global rating scores (GRS) in objective structured clinical examinations (OSCEs) for fourth-year undergraduate medical students and aimed to determine whether both methods can be reliably used in a standard setting.
Methods
A comparative observational study was conducted at Al Rayan College of Medicine, Saudi Arabia, involving 93 fourth-year students during the 2023–2024 academic year. OSCEs from 2 General Practice courses were analyzed, each comprising 10 stations assessing clinical competencies. Students were scored using both task-specific checklists and holistic 5-point GRS. Reliability was evaluated using Cronbach’s α, and the relationship between the 2 scoring methods was assessed using the coefficient of determination (R2). Ethical approval and informed consent were obtained.
Results
The mean OSCE score was 76.7 in Course 1 (Cronbach’s α=0.85) and 73.0 in Course 2 (Cronbach’s α=0.81). R2 values varied by station and competency. Strong correlations were observed in procedural and management skills (R2 up to 0.87), while weaker correlations appeared in history-taking stations (R2 as low as 0.35). The variability across stations highlighted the context-dependence of alignment between checklist and GRS methods.
Conclusion
Both checklists and GRS exhibit reliable psychometric properties. Their combined use improves validity in OSCE scoring, but station-specific application is recommended. Checklists may anchor pass/fail decisions, while GRS may assist in assessing borderline performance. This hybrid model increases fairness and reflects clinical authenticity in competency-based assessment.
Brief Report
Medical students’ perception of the proposal for theme-based integrated multi-disciplinary objective structured practical examination in Saudi Arabia  
Mohammad Saleh Hassan, Amel Yacoubi
J Educ Eval Health Prof. 2016;13:15.   Published online March 31, 2016
DOI: https://doi.org/10.3352/jeehp.2016.13.15
  • 37,239 View
  • 197 Download
  • 2 Web of Science
  • 3 Crossref
AbstractAbstract PDF
This study aimed to find the opinion of preclinical medical students concerning a new suggested approach for practical assessment. Fifty-three female students agreed to participate in this study, out of 87 registered students in years 2 and 3 of the basic science phase of the College of Medicine, Qassim University, Kingdom of Saudi Arabia. Full explanation was made to the students of theme-based integrated objective structured practical examination (TBI-OSPE), followed by distribution of a questionnaire to collect the students’ opinions. The study was conducted in January 2015. Results showed that 78% of respondents were accepting of this new approach, and that only 5.7% rejected it. This difference was statistically significant (P<0.05). This study suggested a new model for assessment of preclinical students’ competencies using the proposed tool (TBI-OSPE) rather than standard classical OSPE, particularly in curricula involving high levels of integration and theme-based problems. This form of assessment would more positively enhance learning.

Citations

Citations to this article as recorded by  
  • Medical students’ perspectives on the role of OSPE and OSCE in the educational journey and contribution to career development: A cross-sectional study
    Fahad Abdulaziz Alrashed, Tauseef Ahmad, Abdulrahman M. Alsubiheen, Saad A. Alhammad, Mishal M. Aldaihan, Alaa M. Albishi, Zafrul Hasan
    Medicine.2026; 105(3): e47233.     CrossRef
  • Standard-Setting of Multidisciplinary Objective Structured Practical Examination
    Sherif M Zaki, Amira S Ismail
    Cureus.2022;[Epub]     CrossRef
  • Assessing the Effectiveness of the Integrated OSPE in Undergraduate Medical Curriculum, Students’ Perception
    Amira Salem Alsagheer, Mohamed Soliman Ali
    Journal of Ecophysiology and Occupational Health.2022; : 109.     CrossRef
Research Article
Evaluation of hospital-learning environment for pediatric residency in eastern region of Saudi Arabia  
Waleed H. BuAli, Abdul Sattar Khan, Mohammad Hussain Al-Qahtani, Shaikha aldossary
J Educ Eval Health Prof. 2015;12:14.   Published online April 18, 2015
DOI: https://doi.org/10.3352/jeehp.2015.12.14
  • 33,690 View
  • 191 Download
  • 13 Web of Science
  • 16 Crossref
AbstractAbstract PDF
Purpose
No study had been conducted to assess the hospitals’ environment for learning purposes in multicenter sites in Saudi Arabia. It aims to evaluate the environment of hospitals for learning purposes of pediatric residents. Methods: We applied Postgraduate Hospital Educational Environment Measure (PHEEM) to measure the learning environment at six teaching hospitals in the Eastern Region of Saudi Arabia from September to December 2013. Results: The number of respondents was 104 (86.7%) out of 120 residents and 37 females and 67 male residents have responded. The residents’ response scored 100 out of 160 maximum score in rating of PHEEM that showed overall learning environment is favorable for training. There were some items in the social support domain suggesting improvements. There was no significant difference between male and female residents. There was a difference among the participant teaching hospitals (p<0.05). Conclusion: The result pointed an overall positive rating. Individual item scores suggested that their social life during residency could be uninspiring. They have the low satisfactory level and they feel racism, and sexual discrimination. Therefore, there is still a room for improvement.

Citations

Citations to this article as recorded by  
  • Measuring Clinical Learning Environment Across Three Residency Programs Using a Postgraduate Hospital Educational Environment Measure (PHEEM) Scale at a Tertiary Care Hospital in the United Arab Emirates
    Nouf AlBisher, Fayeza AlAmeri, Dolhyt Detera, Humariya Heena
    Cureus.2025;[Epub]     CrossRef
  • Examining the Psychometric Properties of Post-graduate Hospital Educational Environment Measure for Saudi Pediatric Trainees: Principal Component Analysis
    Khouloud Abdulrhman Alsofyani, Saud Bahaidarah, Abdulaziz Boker
    Iranian Journal of Pediatrics.2024;[Epub]     CrossRef
  • Scoping review of the application of the Postgraduate Hospital Educational Environment Measure (PHEEM) in medical residency
    Patrícia Lofêgo Gonçalves, Ana Paula Moscon Marçal, Renata de Almeida França, Vania dos Santos Nunes Nogueira
    Revista Brasileira de Educação Médica.2024;[Epub]     CrossRef
  • Revisão de escopo da aplicação do Postgraduate Hospital Educational Environment Measure (PHEEM) na residência médica
    Patrícia Lofêgo Gonçalves, Ana Paula Moscon Marçal, Renata de Almeida França, Vania dos Santos Nunes Nogueira
    Revista Brasileira de Educação Médica.2024;[Epub]     CrossRef
  • Evaluating the educational environment among Saudi board dental residents at King Abdulaziz Medical City in Riyadh using PHEEM tool
    Maram Ali M. Alwadi, Lama Ahmed Alosail, Deema Abdullah Alroweilly, Alanoud Musaad AlJubair, Arwa Ameen Talakey
    BMC Medical Education.2024;[Epub]     CrossRef
  • Measuring the Learning Orientation Fostered by Pediatric Residency Programs With the Graduate Medical Education Learning Environment Inventory Instrument
    Jonathan G. Sawicki, Boyd F. Richards, Alan Schwartz, Dorene Balmer
    Academic Pediatrics.2023; 23(6): 1288.     CrossRef
  • State of well-being among residents in a tertiary center in Riyadh, Saudi Arabia
    Fatimah Saeed AlAhmari, Alaa Aloqail, Shahad Almansour, Mohammad Bagha
    BMC Medical Education.2023;[Epub]     CrossRef
  • Evaluation of the Training Environment Among Residents in Morocco: A Multicentric Study
    Mohamed EL Mouhajir, Yassine Majbar, Nadir Ammar, Achraf Sakini, Oumaima Lahnaoui, Amine Benkabbou, Amine Souadka, Mohammed Anass Majbar
    Journal of Medical and Surgical Research.2023; : 1239.     CrossRef
  • Trainees’ perceptions on learning environment based on the level of training in a pediatric training program in Indonesia
    Rina Triasih, Felisia Ang, Weda Kusuma, Gandes Retni Rahayu
    Paediatrica Indonesiana.2022; 62(4): 249.     CrossRef
  • Evaluación del ambiente educacional en la residencia de Clínica Pediátrica en un Hospital de Referencia Provincial
    Myriam Lucrecia Medina, Marcelo Gabriel Medina, Nélida Teresita Gauna, Luciana Molfino, Luis Antonio Merino
    Educación Médica.2020; 21(1): 24.     CrossRef
  • Moroccan residents’ perceptions of the hospital learning environment measured with the French version of the Postgraduate Hospital Educational Environment Measure
    Hajar Berrani, Redouane Abouqal, Amal Thimou Izgua
    Journal of Educational Evaluation for Health Professions.2020; 17: 4.     CrossRef
  • Evaluating the educational environment in a residency programme in Singapore: can we help reduce burnout rates?
    AML Ong, WWS Fong, AKW Chan, GC Phua, CK Tham
    Singapore Medical Journal.2020; 61(9): 476.     CrossRef
  • Sudanese paediatric residents’ perception towards training environment in Sudan Medical Specialisation Board, 2020
    Amani Baldo, Mustafa Elnimeiri, Huda Haroun, Emuntasir Salah
    Sudanese Journal of Paediatrics.2020; : 126.     CrossRef
  • Learning environment, stress and coping in psychiatry residents within a national training program: a longitudinal study
    Qian Hui Chew, Eric Holmboe, Kang Sim
    Perspectives on Medical Education.2019; 8(3): 160.     CrossRef
  • Using the Postgraduate Hospital Educational Environment Measure to Identify Areas for Improvement in a Singaporean Residency Program
    Andrew Ming-Liang Ong, Warren Weng-Seng Fong, Adrian Kwok-Wai Chan, Ghee-Chee Phua, Chee-Kian Tham
    Journal of Graduate Medical Education.2019; 11(4s): 73.     CrossRef
  • Adoption and correlates of Postgraduate Hospital Educational Environment Measure (PHEEM) in the evaluation of learning environments – A systematic review
    Christopher Yi Wen Chan, Min Yi Sum, Wee Shiong Lim, Nicholas Wuen Ming Chew, Dujeepa D. Samarasekera, Kang Sim
    Medical Teacher.2016; 38(12): 1248.     CrossRef

JEEHP : Journal of Educational Evaluation for Health Professions
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