Evaluation of a Novel Formative Objective Structured Clinical Examination for Clinical Reasoning Processes in Undergraduate Medical Education: A Pilot Study.

Key Points

• This research aims to assess the effectiveness of a novel Objective Structured Clinical Examination for measuring clinical reasoning processes in medical students.
• Developed a novel Objective Structured Clinical Examination (OSCE-CR) focusing on clinical reasoning.
• Conducted pilot testing with undergraduate medical students.
• Collected psychometric evidence related to diagnostic accuracy and feedback on clinical reasoning processes.
• Initial psychometric evidence supports the use of OSCE-CR for measuring clinical reasoning.
• Students demonstrated improved practice in process-related behaviors linked to diagnostic accuracy.
• The examination aids in reducing future diagnostic errors.