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FEM: Revista de la Fundación Educación Médica
versión On-line ISSN 2014-9840versión impresa ISSN 2014-9832
Resumen
BORGES, André y CAVACO, José E. Why 20% of the students fail in the oral exam 'fresh heart'?. FEM (Ed. impresa) [online]. 2018, vol.21, n.5, pp.259-262. Epub 16-Ago-2021. ISSN 2014-9840. https://dx.doi.org/10.33588/fem.215.965.
Introduction:
In the 2nd grade of medical school in the University of Beira Interior, there is a 'heart' exam, the only oral exam of the course. The observation that about 1 out of 5 students failed the exam, propelled an investigation.
Subjects and methods:
We conducted two questionnaires, before and after the exam, that assessed multiple factors. Blood pressure and heart rate were recorded before and after the exam and in a non-stress situation. Two different teachers assessed students. Descriptive statistical tests, t -test, chi-square test and Mann-Whitney test were applied.
Results:
Of a total of 1042 students, between 2005 and 2014, 19.96% failed in the oral exam. In 2015 ( n = 144), there was a 100% response rate to the questionnaires. The male gender is associated with a higher failure rate ( p = 0.04). The parameters 'I was nervous for watching my colleague's exam' ( p = 0.041) and 'The presence of a colleague in the room left me nervous' ( p = 0.014) were associated to failure. The heart rate ( p = 0.028) and diastolic blood pressure ( p = 0.030) after the oral exam were related to failure.
Conclusions:
It is suggested that students wait outside the room during the exam. It is crucial to avoid differences between teachers, so it is suggested, an initial pre-training on the structure and parameters of evaluation.
Palabras clave : Heart; Medical education; Oral exam; Students; Viva voce.