Impact of station number and duration time per station on the reliability of Objective Structured Clinical Examination (OSCE) scores: a systematic review and meta-analysis

Abstract Background The Objective Structured Clinical Examination (OSCE) is a systematic and structured assessment tool that evaluates candidates’ professional medical skills in a simulated environment through a series of time-limited stations. The aim of this meta-analysis was to determine the opti...

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Main Authors: Qiyun Peng, Jiani Luo, Chunyan Wang, Lei Chen, Shenglan Tan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-025-06691-0
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author Qiyun Peng
Jiani Luo
Chunyan Wang
Lei Chen
Shenglan Tan
author_facet Qiyun Peng
Jiani Luo
Chunyan Wang
Lei Chen
Shenglan Tan
author_sort Qiyun Peng
collection DOAJ
description Abstract Background The Objective Structured Clinical Examination (OSCE) is a systematic and structured assessment tool that evaluates candidates’ professional medical skills in a simulated environment through a series of time-limited stations. The aim of this meta-analysis was to determine the optimal station number and duration time per station of OSCE to achieve good reliability. Methods A comprehensive search was conducted across PubMed and Embase from inception until August 2024, without language restrictions. Studies were included if they provided data on the station number and duration time of OSCE, along with Cronbach’s alpha. A random-effects model was used to pool the data. Results A total of 23 studies encompassing 26 Cronbach’s alpha were finally included. Cronbach’s alpha values ranged from 0.43 to 0.93, and 11 studies demonstrated good internal consistency (Cronbach’s alpha ≥ 0.8). The analysis indicated that a design of 5–10 stations, with each station lasting less than 10 min, yielded the best internal consistency (Cronbach’s alpha = 0.88, 95% CI: 0.86, 1.00). Conclusions This meta-analysis suggests that the station number of OSCE falling in between 5 and 10, with each station time lasting no more than 10 min are likely to yield good reliability and strong internal consistency.
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issn 1472-6920
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spelling doaj-art-3bd2011683c4413a9262ae967456f5082025-01-19T12:27:37ZengBMCBMC Medical Education1472-69202025-01-0125111010.1186/s12909-025-06691-0Impact of station number and duration time per station on the reliability of Objective Structured Clinical Examination (OSCE) scores: a systematic review and meta-analysisQiyun Peng0Jiani Luo1Chunyan Wang2Lei Chen3Shenglan Tan4Department of Pharmacy, Second Xiangya Hospital, Central South UniversityDepartment of Pharmacy, Second Xiangya Hospital, Central South UniversityDepartment of Pharmacy, Second Xiangya Hospital, Central South UniversityDepartment of Pharmacy, Second Xiangya Hospital, Central South UniversityDepartment of Pharmacy, Second Xiangya Hospital, Central South UniversityAbstract Background The Objective Structured Clinical Examination (OSCE) is a systematic and structured assessment tool that evaluates candidates’ professional medical skills in a simulated environment through a series of time-limited stations. The aim of this meta-analysis was to determine the optimal station number and duration time per station of OSCE to achieve good reliability. Methods A comprehensive search was conducted across PubMed and Embase from inception until August 2024, without language restrictions. Studies were included if they provided data on the station number and duration time of OSCE, along with Cronbach’s alpha. A random-effects model was used to pool the data. Results A total of 23 studies encompassing 26 Cronbach’s alpha were finally included. Cronbach’s alpha values ranged from 0.43 to 0.93, and 11 studies demonstrated good internal consistency (Cronbach’s alpha ≥ 0.8). The analysis indicated that a design of 5–10 stations, with each station lasting less than 10 min, yielded the best internal consistency (Cronbach’s alpha = 0.88, 95% CI: 0.86, 1.00). Conclusions This meta-analysis suggests that the station number of OSCE falling in between 5 and 10, with each station time lasting no more than 10 min are likely to yield good reliability and strong internal consistency.https://doi.org/10.1186/s12909-025-06691-0Objective structured clinical examinationCronbach’s alphaReliabilityMedical education
spellingShingle Qiyun Peng
Jiani Luo
Chunyan Wang
Lei Chen
Shenglan Tan
Impact of station number and duration time per station on the reliability of Objective Structured Clinical Examination (OSCE) scores: a systematic review and meta-analysis
BMC Medical Education
Objective structured clinical examination
Cronbach’s alpha
Reliability
Medical education
title Impact of station number and duration time per station on the reliability of Objective Structured Clinical Examination (OSCE) scores: a systematic review and meta-analysis
title_full Impact of station number and duration time per station on the reliability of Objective Structured Clinical Examination (OSCE) scores: a systematic review and meta-analysis
title_fullStr Impact of station number and duration time per station on the reliability of Objective Structured Clinical Examination (OSCE) scores: a systematic review and meta-analysis
title_full_unstemmed Impact of station number and duration time per station on the reliability of Objective Structured Clinical Examination (OSCE) scores: a systematic review and meta-analysis
title_short Impact of station number and duration time per station on the reliability of Objective Structured Clinical Examination (OSCE) scores: a systematic review and meta-analysis
title_sort impact of station number and duration time per station on the reliability of objective structured clinical examination osce scores a systematic review and meta analysis
topic Objective structured clinical examination
Cronbach’s alpha
Reliability
Medical education
url https://doi.org/10.1186/s12909-025-06691-0
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