Evaluation Using Simulated Students for Reliability of Multiple Standardized-Patients Scoring in Clinical Performance Examinations  

Oleh:

Yoon, Sung Lee ; Jin, Gwack ; Eun, A. Kim ; Sung, A. Lee ; Wan, Beom Park ; Jwa-Seop, Shin ; Keun-Young, Yoo

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Medical Teacher (keterangan: ada di Proquest) vol. 29 no. 09-10 (Nov. 2007), page 978.

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: The consistency of rating among different standardized patients (SPs) is very important in clinical performance examinations (CPX). Aims: We evaluated the usefulness of simulated students to assess the reliability of a group of standardized patients in a CPX. Methods: Five SPs in each case were trained to simulate the same patient in a CPX. Ten fourth-year medical student volunteers were selected to act as simulated students. After the simulated students encountered the first SP, they reviewed a video of their performance and sequentially repeated the performance with the other 4 SPs. Results: The average maximum difference (max ± SD) of multiple SPs' percent scores on a simulated student was 18 ± 7. In 10 pairs of SPs who gave largest max on a given student, the median max was 30 (range, 26-38) while median difference of percent score in the faculty scoring on the same simulated student was 3 (range, 0-7). Five problematic SPs whose ratings were significantly different from 3 or more other SPs' ratings in each case were identified. Conclusions: Simulated students may be a useful means to check the consistency of rating among different SPs in a CPX.

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