The Disadvantages of Normal Circadian Chronotype in Medical Students During the Most Demanding Sections of the Objective Structured Clinical Examination (OSCE)
Background and Objective: Previous studies had examined the effect of learning in young adults with generally worse results in cases with the delayed sleep-wake phase disorder. In this study, the relationship between circadian rhythm preferences and objective structured clinical examination (OSCE) r...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2020-07-01
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| Series: | Journal of Sleep Sciences |
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| Online Access: | https://jss.tums.ac.ir/index.php/jss/article/view/148 |
| _version_ | 1818295390368169984 |
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| author | Reza Erfanian Ehsan Bastanhagh Khosro Sadeghniiat-Haghighi Hakima Abdullah |
| author_facet | Reza Erfanian Ehsan Bastanhagh Khosro Sadeghniiat-Haghighi Hakima Abdullah |
| author_sort | Reza Erfanian |
| collection | DOAJ |
| description | Background and Objective: Previous studies had examined the effect of learning in young adults with generally worse results in cases with the delayed sleep-wake phase disorder. In this study, the relationship between circadian rhythm preferences and objective structured clinical examination (OSCE) results was examined in medical students.
Materials and Methods: This study was conducted during the OSCE for clinical license in medical students who were graduation candidates. The reduced form of the Horne and Ostberg Morningness-Eveningness Questionnaire was used to estimate their circadian chronotype. The OSCE consisted of 12 stations, which evaluated different clinical skills, as well as participant’s medical knowledge. The effect of morningness-eveningness preference of each participant on score was evaluated within each station of OSCE.
Results: In total, 78 students participated out of a total of 114 clinically competent candidates (aged 25-34 years) were evaluated. In terms of sex, 56% of the students were girl, who obtained significantly higher grades in three stations (P < 0.05). The grades of students with delayed sleep-wake chronotypes were higher in most of the stations; however, the difference was statistically significant in only one station (P = 0.045), which was the most difficult station of the exam. Nevertheless, the delayed sleep-wake chronotype was associated with excessive daytime sleepiness (P = 0.002).
Conclusion: Contrary to other similar studies in medical students, normal circadian chronotype was associated with poorer outcome in the OSCE; which may be explained by unusual student training hours during shifts, and the resultant available time for undisturbed study . |
| first_indexed | 2024-12-13T03:46:53Z |
| format | Article |
| id | doaj.art-ee9b4fc8dc204b3887901c24fb2560e1 |
| institution | Directory Open Access Journal |
| issn | 2476-2938 2476-2946 |
| language | English |
| last_indexed | 2024-12-13T03:46:53Z |
| publishDate | 2020-07-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Sleep Sciences |
| spelling | doaj.art-ee9b4fc8dc204b3887901c24fb2560e12022-12-22T00:00:48ZengTehran University of Medical SciencesJournal of Sleep Sciences2476-29382476-29462020-07-0143-4The Disadvantages of Normal Circadian Chronotype in Medical Students During the Most Demanding Sections of the Objective Structured Clinical Examination (OSCE)Reza Erfanian0Ehsan Bastanhagh1Khosro Sadeghniiat-Haghighi2Hakima Abdullah3Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Anesthesiology, Pain and Critical Care, Yas Hospital, Tehran University of Medical Sciences, Tehran, IranOccupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, IranOtorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, IranBackground and Objective: Previous studies had examined the effect of learning in young adults with generally worse results in cases with the delayed sleep-wake phase disorder. In this study, the relationship between circadian rhythm preferences and objective structured clinical examination (OSCE) results was examined in medical students. Materials and Methods: This study was conducted during the OSCE for clinical license in medical students who were graduation candidates. The reduced form of the Horne and Ostberg Morningness-Eveningness Questionnaire was used to estimate their circadian chronotype. The OSCE consisted of 12 stations, which evaluated different clinical skills, as well as participant’s medical knowledge. The effect of morningness-eveningness preference of each participant on score was evaluated within each station of OSCE. Results: In total, 78 students participated out of a total of 114 clinically competent candidates (aged 25-34 years) were evaluated. In terms of sex, 56% of the students were girl, who obtained significantly higher grades in three stations (P < 0.05). The grades of students with delayed sleep-wake chronotypes were higher in most of the stations; however, the difference was statistically significant in only one station (P = 0.045), which was the most difficult station of the exam. Nevertheless, the delayed sleep-wake chronotype was associated with excessive daytime sleepiness (P = 0.002). Conclusion: Contrary to other similar studies in medical students, normal circadian chronotype was associated with poorer outcome in the OSCE; which may be explained by unusual student training hours during shifts, and the resultant available time for undisturbed study .https://jss.tums.ac.ir/index.php/jss/article/view/148Circadian rhythm; Objective structured clinical examination; Medical students; Morningness; Eveningness |
| spellingShingle | Reza Erfanian Ehsan Bastanhagh Khosro Sadeghniiat-Haghighi Hakima Abdullah The Disadvantages of Normal Circadian Chronotype in Medical Students During the Most Demanding Sections of the Objective Structured Clinical Examination (OSCE) Journal of Sleep Sciences Circadian rhythm; Objective structured clinical examination; Medical students; Morningness; Eveningness |
| title | The Disadvantages of Normal Circadian Chronotype in Medical Students During the Most Demanding Sections of the Objective Structured Clinical Examination (OSCE) |
| title_full | The Disadvantages of Normal Circadian Chronotype in Medical Students During the Most Demanding Sections of the Objective Structured Clinical Examination (OSCE) |
| title_fullStr | The Disadvantages of Normal Circadian Chronotype in Medical Students During the Most Demanding Sections of the Objective Structured Clinical Examination (OSCE) |
| title_full_unstemmed | The Disadvantages of Normal Circadian Chronotype in Medical Students During the Most Demanding Sections of the Objective Structured Clinical Examination (OSCE) |
| title_short | The Disadvantages of Normal Circadian Chronotype in Medical Students During the Most Demanding Sections of the Objective Structured Clinical Examination (OSCE) |
| title_sort | disadvantages of normal circadian chronotype in medical students during the most demanding sections of the objective structured clinical examination osce |
| topic | Circadian rhythm; Objective structured clinical examination; Medical students; Morningness; Eveningness |
| url | https://jss.tums.ac.ir/index.php/jss/article/view/148 |
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