{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:21:12Z","timestamp":1792005672696,"version":"4.4.0"},"reference-count":29,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,3,16]]},"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The qualitative subjective assessment has been exercised either by self-reflection (self-assessment (SA)) or by an observer (peer assessment (PA)) and is considered to play an important role in students\u2019 development. The objectivity of PA and SA by students as well as those by faculty examiners has remained debated. This matters most when it comes to a high-stakes examination. We explored the degree of objectivity in PA, SA, as well as the global rating by examiners being Examiners\u2019 Subjective Assessment (ESA) compared with Objective Structured Clinical Examinations (OSCE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Undergraduate medical students at Alfaisal University, Riyadh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All second-year medical students (n=164) of genders, taking a course to learn clinical history taking and general physical examination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>A Likert scale questionnaire was distributed among the participants during selected clinical skills sessions. Each student was evaluated randomly by peers (PA) as well as by himself\/herself (SA). Two OSCEs were conducted where students were assessed by an examiner objectively as well as subjectively (ESA) for a global rating of confidence and well-preparedness. OSCE-1 had fewer topics and stations, whereas OSCE-2 was terminal and full scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>OSCE-1 (B=0.10) and ESA (B=8.16) predicted OSCE-2 scores. \u2018No nervousness\u2019 in PA (r=0.185, p=0.018) and \u2018confidence\u2019 in SA (r=0.207, p=0.008) correlated with \u2018confidence\u2019 in ESA. In \u2018well-preparedness\u2019, SA correlated with ESA (r=0.234, p=0.003).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>OSCE-1 and ESA predicted students\u2019 performance in the OSCE-2, a high-stakes evaluation, indicating practical \u2018objectivity\u2019 in ESA, whereas SA and PA had minimal predictive role. Certain components of SA and PA correlated with ESA, suggesting partial objectivity given the limited objectiveness of ESA. Such difference in \u2018qualitative\u2019 objectivity probably reflects experience. Thus, subjective assessment can be used with some degree of objectivity for continuous assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-012289","type":"journal-article","created":{"date-parts":[[2017,5,9]],"date-time":"2017-05-09T20:10:26Z","timestamp":1494360626000},"page":"e012289","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":25,"title":["Objectivity in subjectivity: do students\u2019 self and peer assessments correlate with examiners\u2019 subjective and objective assessment in clinical skills? A prospective study"],"prefix":"10.1136","volume":"7","author":[{"given":"A'man Talal","family":"Inayah","sequence":"first","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucman A","family":"Anwer","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"},{"name":"Mayo Clinic, Rochester, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Abrar","family":"Shareef","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"},{"name":"Mercy St. Vincent Medical Center, Toledo, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akram","family":"Nurhussen","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haifa Mazen","family":"Alkabbani","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alhanouf A","family":"Alzahrani","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam Subait","family":"Obad","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Zafar","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasir Ali","family":"Afsar","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,5,9]]},"reference":[{"key":"2025121300283152000_7.5.e012289.1","unstructured":"Moore DE , Cordes DL . 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