| Evaluation of the assessment and grading of medical students on a neurology clerkship. | |
| | |
MedLine Citation:
|
PMID: 18299522 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To describe a clinical encounter (Bedside Examination Exercise [BEE]) used for assessment and teaching in the Massachusetts General Hospital neurology clerkship; to compare results of the BEE with the Harvard Medical School Subjective Evaluation Form (SEF) and National Board of Medical Examiners Shelf examination (Shelf); and to develop a grading system that assesses multiple skills and reflects proficiency. METHODS: The BEE was administered to 409 students. Final grades were compared with those of 71 students evaluated with the SEF alone. We compared results on the SEF, BEE, and Shelf examination in another 132 students. A composite score was developed, weighted SEF 70%, BEE 15%, and Shelf 15%, to derive the final grade. RESULTS: The BEE helped limit grade inflation, but did not predict final grade determined by the SEF. Grades from the three test instruments had normal distributions, but different means and SDs: SEF 84% +/- 10.3%; BEE 83% +/- 9.3%; Shelf 69% +/- 8.4%. There was poor agreement among individual students between different tests, even within core competencies. The 70-15-15 composite score had a normal distribution, 81% +/- 8.5%. CONCLUSIONS: The Bedside Examination Exercise (BEE) is useful for assessing and teaching clinical skills. No single test instrument predicts results of another with acceptable accuracy. Use of complimentary assessment tools (BEE, Subjective Evaluation Form, and Shelf) lessens uncertainty in deriving the composite score, and facilitates evaluation of different attributes. The composite score enables a five-tier grading system that recognizes proficiency, rewards excellence, and provides meaningful feedback. This approach could be generalized to other clerkships. |
| | |
Authors:
|
Jeremy D Schmahmann; Marygrace Neal; Jason MacMore |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Neurology Volume: 70 ISSN: 1526-632X ISO Abbreviation: Neurology Publication Date: 2008 Feb |
Date Detail:
|
Created Date: 2008-02-26 Completed Date: 2008-03-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0401060 Medline TA: Neurology Country: United States |
Other Details:
|
Languages: eng Pagination: 706-12 Citation Subset: AIM; IM |
Affiliation:
|
Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. jschmahmann@partners.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Clinical Clerkship* Clinical Competence / standards Curriculum Educational Measurement / statistics & numerical data* Humans Neurologic Examination / standards Neurology / education* Observer Variation Reproducibility of Results Specialty Boards / statistics & numerical data* Statistics as Topic |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Configuration of intracranial arteries and development of aneurysms: a follow-up study.
Next Document: The history of progressive muscular atrophy: syndrome or disease?