objective structured clinical examination ( osce ) is being regarded as a useful method for assessing the competence skills as well as for enhancing the knowledge required for clinical work . it is an assessment technique in which student demonstrate their competence under a variety of simulated conditions . the osce is now being regarded as one of the most valid , reliable , and effective examination for assessment of clinical skill . a five - station osce training with different substance - use disorders was conducted and it was found that the educational value of the osce with feedback as a training tool was high and feedback improved subsequent performance . osce based training led to change in the mean score of knowledge about the health conditions among physicians at post - test level . in order to document the need for integration of osce in postgraduate teaching setting , trainee were assessed on various parameters , it was observed that they performed less than satisfactory in areas of assuring confidentiality ( 73.5% ) , assessing comfort ( 62% ) , summarizing ( 60% ) , closure ( 62% ) and assessing whether the  patient  had understood what was being communicated ( 42% ) . it highlight the need to integrate osce like program in training to improve their skill . the present study is going to study the role of exposure to osce based skills in enhancement of clinical and interpersonal skills at 1 year interval among mental health trainees . a total of 55 mental health trainees got exposure to weekly osce training on various aspects of clinical work , as a part of their clinical training for 3 months at the national institute of mental health and neurosciences , bangalore , karnataka , india . each role play ( professional - patient ) was evaluated in terms of 14 parameters ( introduction of topic , confidentiality , consent , establishing rapport , paraphrasing , assessing comfort , handling unexpected events , check for understanding , summarizing , closure , completeness , clarity , correctness , empathy ) , by faculty from psychiatry , clinical psychology , and psychiatric social work and trainees from each of these specialties . they were contacted at 12 months interval to assess the changes in their clinical as well as interpersonal skills . the questionnaire includes assessment of changes in skills following osce training ; changes in clinical skill ; changes in handling the interpersonal situations ; assessment of frequently used osce skills and their rating of attribution of benefit to being a role player / observer and health professional . three attempts were made to seek their feedback , failing which they were considered as drop out . the present work includes feedback from 27 participants ( 14 males and 13 females ) . it includes 10 psychiatry , 8 clinical psychology , and 9 psychiatry social work trainees . total of 74% of them attributed the change in clinical and interpersonal areas to being a role player in the osce and 24% preferred to be an observer . the present work reports change in their clinical and interpersonal skills ( able to express idea clearly , ask for clarification , able to deal with patient / relative needs , mental status examination , taking informed consent , breaking bad news , dealing with anxious patient , conflict resolution skill , and ability to empathize with others ) and the various osce skills used are listening ability , communication , clarity in requesting / advising for something and reflection of feeling at 1 year follow - up [ table 1 and figure 1 ] . trainees were comfortable in conducting , i.e. , the interview , performing in front of a group , being evaluated , and given feedback in front of a group after osce training . osce leads to change in communication skills among 79 hong kong chinese physician over 10 months interval . students assessed their clinical skill following exposure to osce and significant positive correlation ( p<0.5 ) between student self - rating and various areas such as technical skills , cardiovascular examination , assessment of dysmorphism , dermatology , and communication . the present study 74% participants attributed the change to being a role player in the osce . the students ( 71% ) with high self - efficacy likely to have a higher score on assessment of change in skills due to osce . the present work also document the change in interpersonal skills in term of conflict resolution skill and empathizing with others . future work can also focus on long term follow - up 's using interview based assessment , booster sessions in between to consolidate the change and it relationship with personality and psychological variables . changes in objective based clinical examination clinical and interpersonal skills changes in clinical and interpersonal skills at 1 year follow - up
background : objective structured clinical examination is being used for assessing the clinical skills as well as their knowledge for various skills.aim:the present work assess the role of exposure to objective structured clinical examination ( osce ) based skills in enhancement of clinical and interpersonal skills at 1 year interval among mental health trainees.materials and methods : fifty five mental health trainees got exposure to weekly osce training on various aspects of clinical work . 
 they were contacted through e mail at 1 year interval for their feedback about the osce.results:27 trainees responded to the mail . 
 74% of them attributed the change in clinical and interpersonal areas to being a role player in the osce and 24% preferred to be observer . 
 they observed changes in their communication , ability to empathize , reflection of feelings , clinical and interpersonal skills.conclusions:osce leads to change in their clinical , interpersonal skills and communication .