The ECOSTRESS Study: Influence of the Objective Structured Clinical Examination on Stress Among Medical Student

Study Overview
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Brief Summary
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We will assess stress using heart rate variability during examination on medical student. Three time of measurement will be performed. First standardized objective clinical examination, second classic table examination and third a control day.

Detailed Description
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French medical students have benefited from a new evaluation method since 2020 in the form of a standardized objective clinical examination (OSCE). This examination consists of an evaluation of an initial clinical situation, in relation to a pre-identified and nationally identical objective in all Medical School. During these exams, the student has one minute of preparation then seven minutes of evaluation in front of a facilitator, member of the teaching staff. An examiner is also present in the room to search in real time for keywords intended for grading. The examiner and facilitator may or may not be tenured teachers. Students benefit from annual training organized by the Medical School of Clermont-Ferrand in which they all participate. This exam appears to be excessively stressful for students. However, there is currently no data regarding the objective measurement of the stress of these students. Heart rate variability is a biomarker of stress measured with a simple heart rate monitor or a watch, completely painless, non-intrusive, and used by the general public routinely in many areas (monitoring sports sessions, etc...).

Official Title
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The ECOSTRESS Study: Influence of the Objective Structured Clinical Examination on Stress Among Medical Student

Conditions
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Heart Rate Variability, Stress, Medical Student

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All medical student that agree to participate Exclusion Criteria: All medical student that disagree to participate

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Heart Rate Variability (HRV) | Comparison of heart rate variability during one day of OSCE versus a traditional table examination. | 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sociodemographic | Study of factors influencing heart rate variability (time of passage, anticipatory stress, sociodemographic, or lifestyle habits). | Once | 
| Subjective stress | Study of stress using visual analogic scale (VAS) | 12 hours | 
| Stress correlation | Study of correlation between subjective stress (VAS) and objective stress (HRV) | Once | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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stress, exam, medical student, heart rate variability