Clinical Evaluation Methods Research Articles

Transforming Practical Evaluations: A Comparative Approach to Students’ Satisfaction with OSCE Versus Traditional Methods

Background Objective Structured Clinical Examination (OSCE) is a method of clinical evaluation which is a competency-based, systematic and objective method for the evaluation of students. The present study was carried out to compare the nursing students’ satisfaction between OSCE and Traditional Practical Examination (TPE) in psychiatric nursing at, Chennai, South India. Methods The study was conducted using the randomized cross-over research design with two groups in a selected Nursing College, Chennai among 84 III-year B.Sc. Nursing students (42 students in each group), were selected using the consecutive sampling technique. The participants were randomly assigned to Group I and Group II based on their second-year university examination scores, using the odd-even method. Data was collected using the baseline characteristics of the students and rating scale on satisfaction of evaluation methods (OSCE and TPE). The data were entered into Excel and analyzed using SPSS for Windows (20.0, IBM Corp) with appropriate statistical tests. Results Overall students’ satisfaction scores were higher in OSCE (98.26 ± 6.44) while comparing to TPE (89.82 ± 7.27, p < .001). Students overwhelmingly perceived positively (strongly agreed) toward OSCE on most of the items on quality of assessment, reliability and validity. Conclusion The study found that students reported high levels of satisfaction with the OSCE, indicating its effectiveness as an evaluation tool. This suggests that the OSCE contributes positively to students’ learning experience and engagement in psychiatric nursing education.

Efficiency of complex topical therapy and broadband pulsed non-coherent light in the treatment of erythematotelangiectatic subtype of rosacea

Rosacea is a chronic inflammatory dermatosis of facial localization. Treatment tactics for patients with rosacea is a complex task, since it depends on the severity and individual characteristics of the patient. Numerous studies determine the relevance of this problem. Observation of 22 patients, 11 of whom received only topical treatment with the erythematotelangiectatic subtype of rosacea treatment in the form of 15% azelaic acid, 0.5 % brimonidine tartrate gel, and 1 % metronidazole cream. In 11 other patients, topical treatment was combined with phototherapy – broadband incoherent pulsed light at intervals of 1 time in 4 weeks, 3 procedures per course. Evaluation of the effectiveness of therapy was carried out using the Antera 3D visualization and skin diagnostics device. Also, the dermatological index GSS (Global Severity Score) and the dermatological index of symptom scale (DISS) were used as clinical evaluation methods. The combination of 15 % azelaic acid, 0.5 % brimonidine tartrate gel, with broadband pulse therapy (3 procedures) showed higher efficiency than monotherapy with topical agents. The obtained results, indicating higher efficiency of the combined treatment method, can be explained by the synergistic effect of the combination of the physiotherapeutic factor and external drugs affecting the pathogenetic mechanisms of disease development.

Performance of atraumatic restorative treatment in primary care: A study in the elderly with home-based dental care.

To assess the performance of atraumatic restorative treatment (ART) in primary care among an elderly population in need of home-based dental care. It is an observational clinical study, more specifically a descriptive cohort study. The status of these restorations was evaluated1 year after placement. The analysis of ART's clinical performance was conducted through the direct clinical evaluation method, following criteria previously defined in earlier studies. Data were tabulated into sets of descriptive categories, allowing classification into a frequency distribution according to the evaluation score. Success and failure results underwent statistical evaluation using the chi-square test, with a significance level set at 5%. Elderly individuals (n = 35) participated in the study, where 103 restorations were performed in the home environment. The majority of participants were women (68.6%) with an average age of 72.3 years, and 54.3% faced difficulties in motor mobility. All received dental care exclusively at home, and 45.7% used dentures. There was a statistically significant difference (p = 0.0156) between the percentage of failures and successful cases (73.8%) without the need for ART replacement. The majority of ART interventions were on occlusal surfaces (44.9%), showing the highest percentage of restorations in good condition (84.8%), followed by mesio-occlusal (81.3%), while disto-occlusal cavities exhibited the highest failure rate (38.4%). The ART demonstrates satisfactory survival rates in elderly patients after 1 year. This restoration can be a viable alternative for the treatment of older adults, especially in situations that require domiciliary dental care.

Does hemorrhoidal artery embolization really benefit patients with hemorrhoids?

This letter offers commentary on an article published in a recent issue of the World Journal of Gastroenterology . Hemorrhoidal artery embolization is a promising approach to severe hemorrhoidal bleeding treatment, but inappropriate patient selection and the use of different embolization procedures may affect the clinical efficacy and cause serious complications. In this article, the most appropriate candidate patients, embolization materials, embolization methods, and clinical evaluation methods are discussed to improve the safety and effectiveness of the procedure.

Wearable biosensors for pediatric hospitals: a scoping review.

As wearable biosensors are increasingly used in healthcare settings, this review aimed to identify the types of wearable biosensors used for neonate and pediatric patients and how these biosensors were clinically evaluated. A literature search was conducted using PubMed, CINAHL, Embase, Web of Science, and Cochrane. The studies published between January 2010 and February 2024 were included. Descriptive statistics were used to present counts and percentages of types, locations, clinical evaluation methods, and their results. Seventy-nine studies were included. 104 wearable sensors and 40 devices were identified. The most common type of biosensor was optoelectrical sensors (n = 40, 38.5%), and used to measure heart rate (n = 22, 19.0%). The clinical evaluation was tested by a combination of validity (n = 68, 86.1%) and reliability (n = 14, 17.7%). Only two-thirds of the wearable devices were validated or reported acceptable reliability. The majority of the biosensor studies (n = 51, 64.5%) did not report any complications related to wearable biosensors. The current literature has gaps regarding clinical evaluation and safety of wearable biosensor devices with interchangeable use of validity and reliability terms. There is a lack of comprehensive reporting on complications, highlighting the need for standardized guidelines in the clinical evaluation of biosensor medical devices. IMPACT: The most common types of biosensors in pediatric settings were optoelectrical sensors and electrical sensors. Only two-thirds of the wearable devices were validated or reported acceptable reliability, and more than half of the biosensor studies did not report whether they assessed any complications related to wearable biosensors. This review discovered significant gaps in safety and clinical validation reporting, emphasizing the need for standardized guidelines. The findings advocate for improved reporting clinical validation processes to enhance the safety of wearable biosensors in pediatric care.

OSCE to assess competency in IV medication administration

BackgroundCompetency-based education (CBE) supports nursing student learning and safe practices by adopting repeated practice and feedback. AimThe project aimed to examine processes to increase student competencies in intravenous (IV) medication administration and Objective Structured Clinical Evaluation (OSCE) methods using best practices in simulation. MethodsThis pilot project examined CBE and OSCE processes in building student confidence and competency in IV medication administration skills.Using a quasi-experimental design, the effects of CBE on confidence were examined by differences in student (n = 19) confidence levels pre and post IV medication administration practice sessions with senior nursing students using IV Therapy Self-Confidence Scale. End of program confidence levels were compared with OSCE scores to examine the correlations between confidence and competence. ResultsConfidence levels increased significantly (<.05), while the relationship between confidence and competence in IV medication administration was mixed. ConclusionsConfidence in nursing skills does not equate to competency. Implementing CBE and OSCE using simulation best practices is a challenge.

Qualitative Exploration of Nursing Students' Perceptions of the Implementation of Objective Structured Clinical Examination (OSCE)

ABSTRACT Introduction: The current method of measuring the clinical competency ability of nursing students is not only through CBT-based exams. One of the methods used to evaluate students' clinical skills is Objective Structured Clinical Examination (OSCE). The purpose of this study is to explore student perception of implementation (OSCE) as a method of evaluating student skills. Methods: This study uses qualitative exploration studies with a phenomenological approach to explore into students' experiences with the OSCE. The population in this study is nursing students (2019–2020) at private University at Surabaya. A total of nine students participated in this study according to the established inclusion criteria. The data collection was conducted through in-depth interviews through Zoom with semi-structural interviews and recorded by the researchers according to the participant's consent. The study was conducted from January 14th to February 1st, 2024. Data were analyzed using the Colaizzi method to determine themes and sub-themes. Results: According to the results of the study, five themes related to student perceptions of the implementation of the OSCE covered the level of knowledge, stressors, implementation management, coping mechanisms, and advantages of OSCE methods. Conclusion: These findings are expected to serve as a basis for the strategy of implementing OSCE as a method of clinical evaluation, especially in the scope of the College of Nursing Sciences. Keywords: Perception, Students, Nursing, OSCE.

Understanding, assessing and treating immune, endothelial and haemostasis dysfunctions in bacterial sepsis.

The interplay between the immune system, coagulation, and endothelium is critical in regulating the host response to infection. However, in sepsis and other critical illnesses, a dysregulated immune response can lead to excessive alterations in these mechanisms, resulting in coagulopathy, endothelial dysfunction, and multi-organ dysfunction. This review aims to provide a comprehensive analysis of the pathophysiological mechanisms that govern the complex interplay between immune dysfunction, endothelial dysfunction, and coagulation in sepsis. It emphasises clinical significance, evaluation methods, and potential therapeutic interventions. Understanding these mechanisms is essential for developing effective treatments that can modulate the immune response, mitigate thrombosis, restore endothelial function, and ultimately improve patient survival.

Co-Designing a Palliative Dementia Care Framework to Support Holistic Assessment and Decision Making: The EMBED-Care Framework.

People with dementia have complex palliative care needs that are often unmet, including physical and psycho-social needs. It is essential to empower people with dementia, family carers and professionals to better assess and manage care needs. We aimed to co-design a palliative dementia care Framework delivered through a digital app to support holistic assessment and decision making for care in the community and care homes-the EMBED-Care Framework. A systematic co-design approach was adopted to develop the EMBED-Care Framework across three stages: 1) Framework analysis to synthesise data from preceding evidence reviews, large routine clinical data and cohort studies of unmet palliative dementia care need; 2) Co-design using iterative workshops with people with dementia, family carers and health and social care professionals to construct the components, design of the app and implementation requirements; and 3) User testing to refine the final Framework and app, and strengthen use for clinical practice and methods of evaluation. The Framework was co-designed for delivery through an app delivered by aTouchAway. It comprised five main components: 1) holistic assessment of palliative care needs using the Integrated Palliative care Outcome Scale-Dementia (IPOS-Dem); 2) alert system of IPOS-Dem scores to highlight unmet needs; 3) IPOS-Dem scores and alerts enable shared decision making between the practitioner, patient and/or carer to support priority setting and goals of care; 4) evidence-informed clinical decision support tools automatically linked with identified needs to manage care; and 5) Training package for users incorporating face-to-face sessions, clinical champions who received additional face-to-face sessions, animated videos and manual covering the main intervention components and email and telephone support from the research team. This is a novel digital palliative dementia care intervention to link holistic assessment with clinical decision support tools that are practical and easy to use but address the complexity of palliative dementia care. The Framework is ready for feasibility testing and pilot studies for people with dementia residing at home or in a care home. We were guided by our Patient and Public Involvement (PPI) group consisting of three people with mild dementia, including younger onset dementia, and seven family carers throughout the project. They supported the overall development of the Framework, including planning of workshops, interpreting findings and testing the framework in our PPI meetings.

Machine learning-causal inference based on multi-omics data reveals the association of altered gut bacteria and bile acid metabolism with neonatal jaundice

ABSTRACT Early identification of neonatal jaundice (NJ) appears to be essential to avoid bilirubin encephalopathy and neurological sequelae. The interaction between gut microbiota and metabolites plays an important role in early life. It is unclear whether the composition of the gut microbiota and metabolites can be used as an early indicator of NJ or to aid clinical decision-making. This study involved a total of 196 neonates and conducted two rounds of “discovery-validation” research on the gut microbiome-metabolome. It utilized methods of machine learning, causal inference, and clinical prediction model evaluation to assess the significance of gut microbiota and metabolites in classifying neonatal jaundice (NJ), as well as the potential causal relationships between corresponding clinical variables and NJ. In the discovery stage, NJ-associated gut microbiota, network modules, and metabolite composition were identified by gut microbiome-metabolome association analysis. The NJ-associated gut microbiota was closely related to bile acid metabolites. By Lasso machine learning assessment, we found that the gut bacteria were associated with abnormal bile acid metabolism. The machine learning-causal inference approach revealed that gut bacteria affected serum total bilirubin and NJ by influencing bile acid metabolism. NJ-associated gut bile acids are potential biomarkers of NJ, and clinical prediction models constructed based on these biomarkers have some clinical effects and the model may be used for disease risk prediction. In the validation stage, it was found that intestinal metabolites can predict NJ, and the machine learning-causal inference approach revealed that bile acid metabolites affected NJ itself by affecting the total bilirubin content. Intestinal bile acid metabolites are potential biomarkers of NJ. By applying machine learning-causal inference methods to gut microbiome-metabolome association studies, we found NJ-associated intestinal bacteria and their network modules and bile acid metabolite composition. The important role of intestinal bacteria and bile acid metabolites in NJ was determined, which can predict the risk of NJ.

Principal test for color sensation: clinical aspects.

Visual function comprises three principles: light sensation, color sensation, and minimum separable sensation. Although clinical evaluation of light sensation and visual acuity have been remarkably developed through comprehensive application of various methods, the test methods to evaluate color sensation in the clinical field have not reflected these various significant developments after their recommendation at the International Congress of Ophthalmology in 1933. To date, various research methods in color vision have been invented on the basis of clinical evaluation methods, most of which were limited to laboratory investigations and were not applied to the clinical field. In this review, the author focuses on both the currently clinical available evaluation methods and the clinically applicable methods based on the present laboratory research studies.

Assessment of lumbar disc herniation-impaired gait by using IMU data fusion method

The inertial motion unit (IMU) is an effective tool for monitoring and assessing gait impairment in patients with lumbar disc herniation(LDH). However, the current clinical assessment methods for LDH gait focus on patients’ subjective scoring indicators and lack the assessment of kinematic ability; at the same time, individual differences in the motor function degradation of the healthy and affected lower limbs of LDH patients are also ignored. To solve this problem, we propose an LDH gait feature model based on multi-source adaptive Kalman data fusion of acceleration and angular velocity. The gait phase is segmented by using an adaptive Kalman data fusion algorithm to estimate the attitude angle, and obtaining gait events through a zero-velocity update technique and a peak detection algorithm. Two IMUs were used to analyze the gait characteristics of lumbar disc patients and healthy gait people, including 12 gait characteristics such as gait spatiotemporal parameters, kinematic parameters, gait variability and stability. Statistical methods were used to analyze the characteristic model and verify the biological differences between the healthy affected side of LDH and healthy subjects. Finally, feature engineering and machine learning technology were used to identify the gait pattern of inertial movement units in patients with lumbar intervertebral disc disease, and achieved a classification accuracy of 95.50%, providing an effective gait feature set and method for clinical evaluation of LDH.

Transforming the delivery of care from “I” to “We” by developing the crisis resource management skills in pediatric interprofessional teams to handle common emergencies through simulation

BackgroundThe healthcare system is highly complex, and adverse events often result from a combination of human factors and system failures, especially in crisis situations. Crisis resource management skills are crucial to optimize team performance and patient outcomes in such situations. Simulation-based training offers a promising approach to developing such skills in a controlled and realistic environment.MethodsThis study employed a mixed-methods (quantitative-qualitative) design and aimed to assess the effectiveness of a simulation-based training workshop in developing crisis resource management skills in pediatric interprofessional teams at a tertiary care hospital. The effectiveness of the intervention was evaluated using Kirkpatrick’s Model, focusing on reaction and learning levels, employing the Collaboration and Satisfaction about Care Decisions scale, Clinical Teamwork Scale, and Ottawa Global Rating Scale for pre- and post-intervention assessments. Focused group discussions were conducted with the participants to explore their experiences and perceptions of the training.ResultsThirty-nine participants, including medical students, nurses, and residents, participated in the study. Compared to the participants’ pre-workshop performance, significant improvements were observed across all measured teamwork and performance components after the workshop, including improvement in scores in team communication (3.16 ± 1.20 to 7.61 ± 1.0, p < 0.001), decision-making (3.50 ± 1.54 to 7.16 ± 1.42, p < 0.001), leadership skills (2.50 ± 1.04 to 5.44 ± 0.6, p < 0.001), and situation awareness (2.61 ± 1.13 to 5.22 ± 0.80, p < 0.001). No significant variations were observed post-intervention among the different teams. Additionally, participants reported high levels of satisfaction, perceived the training to be highly valuable in improving their crisis resource management skills, and emphasized the importance of role allocation and debriefing.ConclusionsThe study underscores the effectiveness of simulation-based training in developing crisis resource management skills in pediatric interprofessional teams. The findings suggest that such training can impact learning transfer to the workplace and ultimately improve patient outcomes. The insights from our study offer additional valuable considerations for the ongoing refinement of simulation-based training programs. There is a need to develop more comprehensive clinical skills evaluation methods to better assess the transferability of these skills in real-world settings. The potential challenges unveiled in our study, such as physical exhaustion during training, must be considered when refining and designing such interventions.

Venous Compressive Disorders

Venous compressive disorders are a heterogenous group of vascular syndromes characterized by extrinsic venous compression that can lead to complications of venous hypertension or venous thrombosis. Endovascular damage secondary to deep venous thrombosis (DVT) can result in post-thrombotic syndrome (PTS), a potentially debilitating condition that can be associated with significant morbidity in the pediatric population. Here we discuss 4 venous compressive disorders: iliac vein compression (May-Thurner syndrome [MTS]); subclavian vein compression at the venous thoracic inlet (Paget-Schroetter syndrome); left renal vein compression (nutcracker syndrome); and popliteal vein compression (popliteal entrapment syndrome) with a focus on clinical evaluation and diagnostic methods. Where endovascular therapy is appropriate, specific procedural considerations including procedure indications, equipment, procedural steps, technical challenges, complications, clinical follow-up and expected outcomes are discussed.

IMPROVING MICROESTHETICS IN AN EDENTULOUS PATIENT WITH CHEEK PLUMPERS: A LITERATURE REVIEW AND CASE SERIES

This case series explores two successful cases of implementation of a magnet-retained hollow cheek plumper prosthesis in the rehabilitation of a patient with sunken cheeks. The clinical evaluation, treatment planning, and prosthetic fabrication methods are discussed, accompanied by a thorough review of the existing literature on cheek plumper prostheses. The literature review encompasses historical perspectives, advancements in materials and techniques, and outcomes reported in similar cases. This combined approach provides a holistic understanding of the clinical efficacy and scientific basis underlying the utilization of cheek plumper prostheses in prosthodontic practice.

Calcium, Phosphate, and Vitamin D in Children and Adolescents with Chronic Diseases: A Cross-Sectional Study.

Chronic diseases may affect the nutritional status of children and adolescents. Calcium (Ca), phosphorus (P), and vitamin D (Vit-D) are crucial nutrients for their growth and development. Proper diagnosis and treatment are critical components of personalized and precision medicine. Hence, we conducted a cross-sectional and comparative study to evaluate Ca, P, and Vit-D levels in their non-skeletal functions and their association with health and nutritional biomarkers in children and adolescents with diverse chronic conditions. We performed anthropometric, body composition, clinical evaluation, biochemical analysis, and dietary survey methods. A total of 78 patients (1-19 years, 43 females, 42 children) took part in this study. Overall, 24, 30, and 24 participants were obese, undernourished, and eutrophic, respectively. Results found that 74% and 35% of individuals had deficient Vit-D and Ca intake, respectively. Most cases were normocalcemic. Results also found that 47% of the subjects had Vit-D deficiency (VDD), 37% were insufficient, and 37% had hypophosphatemia. Of the 46% and 31% of patients with VDD and insufficient levels, 19% and 11% were hypophosphatemic, respectively. Calcium, P, and Vit-D levels were associated with anthropometric parameters, body mass index, body composition, physical activity, diet, growth hormones, and the immune, liver, and kidney systems. These results show the coincident risk of altered Ca, P, and Vit-D metabolism in children and adolescents with chronic diseases.

Assessment of atherosclerotic plaque burden: comparison of AI-QCT versus SIS, CAC, visual and CAD-RADS stenosis categories

This study assesses the agreement of Artificial Intelligence-Quantitative Computed Tomography (AI-QCT) with qualitative approaches to atherosclerotic disease burden codified in the multisociety 2022 CAD-RADS 2.0 Expert Consensus. 105 patients who underwent cardiac computed tomography angiography (CCTA) for chest pain were evaluated by a blinded core laboratory through FDA-cleared software (Cleerly, Denver, CO) that performs AI-QCT through artificial intelligence, analyzing factors such as % stenosis, plaque volume, and plaque composition. AI-QCT plaque volume was then staged by recently validated prognostic thresholds, and compared with CAD-RADS 2.0 clinical methods of plaque evaluation (segment involvement score (SIS), coronary artery calcium score (CACS), visual assessment, and CAD-RADS percent (%) stenosis) by expert consensus blinded to the AI-QCT core lab reads. Average age of subjects were 59 ± 11 years; 44% women, with 50% of patients at CAD-RADS 1–2 and 21% at CAD-RADS 3 and above by expert consensus. AI-QCT quantitative plaque burden staging had excellent agreement of 93% (k = 0.87 95% CI: 0.79–0.96) with SIS. There was moderate agreement between AI-QCT quantitative plaque volume and categories of visual assessment (64.4%; k = 0.488 [0.38–0.60]), and CACS (66.3%; k = 0.488 [0.36–0.61]). Agreement between AI-QCT plaque volume stage and CAD-RADS % stenosis category was also moderate. There was discordance at small plaque volumes. With ongoing validation, these results demonstrate a potential for AI-QCT as a rapid, reproducible approach to quantify total plaque burden.

Degree of swallowing impairment in the elderly: clinical and instrumental assessment

ObjectiveTo classifying the degree of swallowing impairment in the elderly, comparing clinical and instrumental assessment. MethodsThis is a cross-sectional study with quantitative and qualitative analysis of clinical and instrumental assessment of 37 elderly, aged 60–82 years, of both genders without neurological, oncological or systemic diseases, participated in this study. All participants were submitted to clinical evaluation and their results compared through fiberoptic endoscopic evaluation of swallowing considering liquid, pudding and solid food consistencies. Data were analyzed descriptively and statistically using the analysis of variance test (two-way ANOVA) and Tukey's post hoc test (p < 0.05). ResultsIn the clinical evaluation there was a higher occurrence of moderate swallowing impairment, followed by functional swallowing, while in fiberoptic endoscopic evaluation of swallowing the severity of the impairment was greater for moderate and mild degrees. There was no statistical difference between the clinical and instrumental evaluation methods. However, there was a significant interaction between the variables, with a difference for liquid consistency in the instrumental evaluation method. ConclusionHealthy elderly have different degree of swallowing impairment according to food consistency. The clinical assessment using a scale that considers the physiological changes of the elderly, presented results similar to those found in the instrumental examination. Level of Evidence2.

Validity of Airway Ultrasound in Correlation with Cormack-Lehane Grading in Obese Patients: A Cross-Sectional Study.

Ultrasound (US) of the upper airway has the potential to be a valuable addition to traditional clinical evaluation methods. This work aimed to assess the validity of US in correlation with Cormack-Lehane grading (CLG) in obese patients. This cross-sectional work was performed on 78 patients ranging in age between 21 and 60 years, both genders with the American Society of Anesthesiologists (ASA) II-III individuals and body mass index (BMI) 30 kg/m² or more, under general anesthesia with endotracheal tube placement. Each separate finding by the US and conventional clinical airway assessment methods before anesthesia induction correlated to the CLG of the same patient after the induction of anesthesia. Grades III and IV are categorized as difficult laryngoscopy. A significant positive association existed among CLG and duration of US measures, pre-epiglottis spaces (Pre-E) ratios, to the distance between a point mid away vocal cords and epiglottis, Pre-E, ratio of hyomental distance extension/hyomental distance neutral and Mallampati; however, there was a significant negative correlation with skin to anterior commissure, hyomental distance extension, hyomental distance neutral, sternomental distance, and thyromental distance (P < 0.05). The ratio between Pre-E over the distance between the epiglottis and a point midway through the vocal cords at cut-off > 2.23 can discriminate difficult laryngoscopy with sensitivity 100% and specificity 100% and area under the curve of 1. The sonographic assessment of the upper airway aids in predicting individuals who might have challenges with airway management. A reliable indicator of a challenging laryngoscopy was the sonographic parameter ratio of Pre-E to the distance between the vocal cords' midway point and the epiglottis.

Nursing Students’ Performance and Feedback on Two Clinical Evaluation Methods in Operating Room: A Quasi-Experimental Study

Background: Appropriate clinical evaluation methods correct educational errors, improve clinical training, and better judge students’ skills. Objectives: The present study aimed to evaluate the effects of using objective structured clinical examination (OSCE) and mini-clinical evaluation exercise (Mini-CEX) on operating room students’ performance and satisfaction. Methods: One group was evaluated by the Mini-CEX method and the other by the OSCE method after random allocation. Feedback was subsequently collected, and data were analyzed using descriptive and analytical statistics. Results: No significant difference was observed between the 2 groups regarding main demographic variables. The percentage of satisfaction with the evaluation method was higher in the Mini-CEX group, but this difference was insignificant (P &gt; 0.05). The highest satisfaction was obtained for “fairness” in the OSCE group and “skill promotion” in the Mini-CEX group. The least satisfaction in both groups was related to “stressfulness.” The mean of final performance scores was significantly higher in the Mini-CEX group (P &lt; 0.05). Conclusions: Although both the OSCE and Mini-CEX evaluation methods achieved acceptable satisfaction, the Mini-CEX evaluation method improved the operating room students’ performance in the clinical field. Therefore, this evaluation method is suggested to enhance the operating room students’ clinical skills.