| Should non-expert clinician examiners be used in objective structured assessment of communication skills among final year medical undergraduates? | |
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MedLine Citation:
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PMID: 18158667 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 > or =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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Authors:
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Mee Lian Wong; Calvin S L Fones; Marion Aw; Chay Hoon Tan; Poh Sim Low; Zubair Amin; Poo Sing Wong; Poh Sun Goh; Chun-Tao Wai; Benjamin Ong; Paul Tambyah; Dow Rhoon Koh |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Medical teacher Volume: 29 ISSN: 1466-187X ISO Abbreviation: Med Teach Publication Date: 2007 Nov |
Date Detail:
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Created Date: 2007-12-25 Completed Date: 2008-02-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7909593 Medline TA: Med Teach Country: England |
Other Details:
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Languages: eng Pagination: 927-32 Citation Subset: IM |
Affiliation:
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Department of Community, Occupational and Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore. cofwml@.nus.edu.sg |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence
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standards* Communication Education, Medical, Undergraduate / standards* Educational Measurement / methods*, standards Faculty, Medical / standards, supply & distribution Humans Observer Variation Pilot Projects Reproducibility of Results |
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