Background: This study examines the educational effects of a Korean capacity-building study-abroad project, the Dr. Lee Jong Wook-Seoul Project (DLSP), on the clinical performance of Laotian doctors using a standardized patient–based (SP-based) objective structured clinical examination (OSCE), which was the first OSCE conducted in Laos.
Methods: An on-site seminar and workshop for the OSCE were held as an implementation strategy prior to the examination. For the outcome evaluation, a six-station SP-based OSCE was implemented among 90 examinees, who comprised two case–control groups: 17 DLSP-experienced doctors and 17 control doctors to evaluate the direct educational effect as learning, 28 mentees of the DLSP-experienced doctors and 28 control doctors to evaluate the indirect educational effects as transfer. Written questionnaire and interview data were also collected from the 90 examinees.
Results: No comparisons within the first and second case–control groups showed significant differences in the OSCE overall or subcomponent scores. The same results were found in subgroup analyses by sex, major, and profession. The interview data indicated that the project improved participants’ medical knowledge, skills, and self-confidence, but its effects on clinical ability seemed questionable due to limited opportunities to see patients within the learning environment.
Conclusions: This study has demonstrated the process for introducing an SP-based OSCE in Laos and successfully completing the testing. Discrepancy in the goals of the OSCE and DLSP, the educational and technological gap between the two countries, and the short period of project implementation are possible explanations for the lack of significant differences in the OSCE results.

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Posted 17 Dec, 2020
Posted 17 Dec, 2020
Background: This study examines the educational effects of a Korean capacity-building study-abroad project, the Dr. Lee Jong Wook-Seoul Project (DLSP), on the clinical performance of Laotian doctors using a standardized patient–based (SP-based) objective structured clinical examination (OSCE), which was the first OSCE conducted in Laos.
Methods: An on-site seminar and workshop for the OSCE were held as an implementation strategy prior to the examination. For the outcome evaluation, a six-station SP-based OSCE was implemented among 90 examinees, who comprised two case–control groups: 17 DLSP-experienced doctors and 17 control doctors to evaluate the direct educational effect as learning, 28 mentees of the DLSP-experienced doctors and 28 control doctors to evaluate the indirect educational effects as transfer. Written questionnaire and interview data were also collected from the 90 examinees.
Results: No comparisons within the first and second case–control groups showed significant differences in the OSCE overall or subcomponent scores. The same results were found in subgroup analyses by sex, major, and profession. The interview data indicated that the project improved participants’ medical knowledge, skills, and self-confidence, but its effects on clinical ability seemed questionable due to limited opportunities to see patients within the learning environment.
Conclusions: This study has demonstrated the process for introducing an SP-based OSCE in Laos and successfully completing the testing. Discrepancy in the goals of the OSCE and DLSP, the educational and technological gap between the two countries, and the short period of project implementation are possible explanations for the lack of significant differences in the OSCE results.

Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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