Should Non-expert Clinician Examiners be Used in Objective Structured Assessment of Communication Skills Among Final Year Medical Undergraduates?  

Oleh:

Mee, Lian Wong ; Fones, Calvin S.L. ; Marion Aw ; Chay, Hoon Tan ; Poh, Sim Low ; Amin, Zubair ; Poo, Sing Wong ; Poh, Sun Goh ; Chun-Tao, Wai ; Ong, Benjamin ; Tambyah, Paul ; Dow, Rhoon Koh

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Medical Teacher (keterangan: ada di Proquest) vol. 29 no. 09-10 (Nov. 2007), page 927.

Ketersediaan

Perpustakaan FK Nomor Panggil: M37.K.2007.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Background: Adoption of the objective structured clinical examination may be hindered by shortages of clinicians within a specialty. Clinicians from other specialties should be considered as alternative, non-expert examiners. Aims: We assessed the inter-rater agreement between expert and non-expert clinician examiners in an integrated objective structured clinical examination for final year medical undergraduates. Methods: Pairs of expert and non-expert clinician examiners used a rating checklist to assess students in 8 oral communication stations, representing commonly encountered scenarios from medicine, paediatrics, and surgery. These included breaking bad news, managing an angry relative, taking consent for lumbar puncture; and advising a mother on asthma and febrile fits, and an adult on medication use, lifestyle changes and post-suture care of a wound. 439 students participated in the OSCE (206 in 2005, 233 in 2006). Results: There was good to very good agreement (intraclass coefficient: 0.57-0.79) between expert and non-expert clinician examiners, with 5 out of 8 stations having intraclass coefficients 0.70. Variation between paired examiners within stations contributed the lowest variance to student scores. Conclusion: These findings support the use of clinicians from other specialties, as 'non-expert' examiners, to assess communication skills, using a standardized checklist, thereby reducing the demand on clinicians time.

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