The Skin Cancer Objective Structured Clinical Examination (SCOSCE): A Multi-Institutional Collaboration to Develop and Validate a Clinical Skills Assessment for Melanoma  

Oleh:

Biello, Katie ; Hoot, Joyce W. ; Reddy, Shalini B. ; Wilson, Lindsay ; George, Paul ; Robinson-Bostom, Leslie ; Belazarian, Leah ; Powers, Jennifer ; Jacob, Reza ; Powers, Michael ; Besen, Justin ; Geller, Alan C.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: JAAD: Journal of the American Academy of Dermatology (keterangan: ada di ClinicalKey) vol. 73 no. 06 (Dec. 2015), page 959-965.
Topik: Cancer; Curriculum; Dermatology; Education; Examination; Medical; Objective Structured Clinical Examination; Skin; Student; Undergraduate

Ketersediaan

Perpustakaan FK Nomor Panggil: J15.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Background: Assessing medical students on core skills related to melanoma detection is challenging in the absence of a well-developed instrument. Objective: We sought to develop an objective structured clinical examination for the detection and evaluation of melanoma among medical students. Methods: This was a prospective cohort analysis of student and objective rater agreement on performance of clinical skills and assessment of differences in performance across 3 schools. Results: Kappa coefficients indicated excellent agreement for 3 of 5 core skills including commenting on the presence of the moulage (k = 0.87, 95% confidence interval 0.77-0.96), obtaining a history for the moulage (k = 0.84, 95% confidence interval 0.74-0.94), and making a clinical impression (k = 0.80, 95% confidence interval 0.68-0.92). There were no differences in performance across schools with respect to 3 of 5 core skills: commenting on the presence of the moulage (P = .15), initiating a history (P = .53), and managing the suspicious lesion (Pvalue range .07-.17). Overall, 54.2% and 44.7% of students commented on the presence of the moulage and achieved maximum performance of core skills, respectively, with no difference in performance across schools. Limitations: Limitations include overall sample size of students and schools. Conclusion: The Skin Cancer Objective Structured Clinical Examination represents a potentially important instrument to measure students' performance on the optimal step-by-step evaluation of a melanoma.

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