| Reliability of the history and physical assessment (HAPA) form. | |
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MedLine Citation:
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PMID: 21851568 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Background: Medical student assessment on core clerkship rotations is notoriously difficult. Most evaluation is subjective and may include significant bias. This study aims to determine the inter-rater reliability of an objective, standardised history and physical examination write-up assessment (HAPA) form. Methods: The HAPA form was used by two paediatrician evaluators to assess 10 student history and physical examination write-ups (H&Ps). Kappa scores were determined to assess agreement between evaluators for each HAPA form item, for the total HAPA form score and for an additional 'overall assessment' score. Results: The kappa scores were relatively high, indicating good agreement between evaluators for the major HAPA form sections: 0.59 for data collection; 0.66 for critical reasoning; and 0.36 for communication skills. The kappa score for the total HAPA form score was 0.58, which was higher than the agreement derived from an 'overall assessment' score (0.30) that the evaluators provided for the H&P. Conclusions: A standardised form for H&P assessment (the HAPA form) provides superior reliability to the 'overall assessment' of H&Ps that is often used in clerkships for evaluation. Criterion-based evaluation of the student write-up can provide reliable evaluation and feedback to students on a clerkship. |
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Authors:
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Amy B Middleman; Punita K Sunder; Amy Good Yen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The clinical teacher Volume: 8 ISSN: 1743-498X ISO Abbreviation: Clin Teach Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-08-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101227511 Medline TA: Clin Teach Country: England |
Other Details:
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Languages: eng Pagination: 192-5 Citation Subset: IM |
Copyright Information:
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© Blackwell Publishing Ltd 2011. |
Affiliation:
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Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA Pediatrix Medical Group, St John's Hospital, Springfield, Missouri, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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