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Faculty Observer and Standardized Patient Accuracy in Recording Examinees' Behaviors Using Checklists in the Clinical Performance Examination / 한국의학교육
Korean Journal of Medical Education ; : 287-297, 2009.
Artículo en Coreano | WPRIM | ID: wpr-174783
ABSTRACT

PURPOSE:

The purpose of the study was to examine the recording accuracy of faculty observers and standardized patients (SPs) on a clinical performance examination (CPX).

METHODS:

This was a cross-sectional study of a fourth-year medical students' CPX that was held at a medical school in Seoul, Korea. The CPX consisted of 4 cases and was administered to 118 examinees, with the participation of 52 SP and 45 faculty observers. For the study we chose 15 examinees per case, and analyzed 60 student-SP encounters in total. To determine the recording accuracy level, 2 SP trainers developed an answer key for each encounter. First, we computed agreement rates (P) and kappa coefficient (K) values between the answer key-SPs and the answer key-faculty observers. Secondly, we analyzed variance (ANOVA) with repeated measures to determine whether the mean percentage of the correct checklist score differed as a function of the rater, the case, or the interaction between both factors.

RESULTS:

Mean P rates ranged from 0.72 to 0.86, while mean K values varied from 0.39 to 0.59. The SP checklist accuracy was higher than that of faculty observersat the level of item comparison. Results from ANOVA showed that there was no significant difference between the percentage of correct scores by the answer key, faculty observers and SPs. There was no significant interaction between rater and case factors.

CONCLUSION:

Acceptable levels of recording accuracy were obtained in both rater groups. SP raters can replace faculty raters in a large-scale CPX with thorough preparation.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Facultades de Medicina / Variaciones Dependientes del Observador / Estudios Transversales / Competencia Clínica / Educación de Pregrado en Medicina / Evaluación Educacional / Lista de Verificación / Corea (Geográfico) Tipo de estudio: Estudio observacional / Estudio de prevalencia / Factores de riesgo Límite: Humanos País/Región como asunto: Asia Idioma: Coreano Revista: Korean Journal of Medical Education Año: 2009 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Facultades de Medicina / Variaciones Dependientes del Observador / Estudios Transversales / Competencia Clínica / Educación de Pregrado en Medicina / Evaluación Educacional / Lista de Verificación / Corea (Geográfico) Tipo de estudio: Estudio observacional / Estudio de prevalencia / Factores de riesgo Límite: Humanos País/Región como asunto: Asia Idioma: Coreano Revista: Korean Journal of Medical Education Año: 2009 Tipo del documento: Artículo