Journal article
Reliability of Performance‐based Clinical Skill Assessment of Emergency Medicine Residents
Academic emergency medicine, v 3(12), pp 1119-1123
Dec 1996
PMID: 8959166
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
ABSTRACT
Objective: To test the overall reliability of a performance‐based clinical skill assessment for entering emergency medicine (EM) residents. Also, to investigate the reliability of separate reporting of diagnostic and management scores for a standardized patient case, subjective scoring of patient notes, and interstation exercise scores.
Methods: Thirty‐four first‐year EM residents were tested using a 10‐station standardized patient (SP) examination. Following each 10‐minute encounter, the residents completed a patient note that included differential diagnosis and management. The residents also were asked to read an ECG or chest x‐ray (CXR) associated with each case. History, physical examination, and interpersonal skills were scored by the SPs. The patient note, CXR, and ECG readings were scored by faculty emergency physicians. Intercase reliability was determined for the residents.
Results: Global score reliability, Cronbach's α = 0.85. Reliabilities for the other components were: history, 0.77; physical examination, 0.83; and interpersonal skills, 0.80. Differential diagnosis and management reliabilities were 0.61 and 0.66, respectively. Subjective scoring of the patient note resulted in acceptable reliability for legibility (0.80), history completeness (0.80), and history organization (0.81). Physical examination completeness and organization reliabilities were 0.74 and 0.73. For ECG and CXR readings, α = 0.74 and 0.34, respectively.
Conclusions: SPs can be used to reliably assess bedside clinical skills of EM residents. While component reliability levels are slightly lower than the global clinical skill reliability coefficient, they are still high enough to use for identification of individual strengths and weaknesses.
Metrics
Details
- Title
- Reliability of Performance‐based Clinical Skill Assessment of Emergency Medicine Residents
- Creators
- William P. Burdick - Philadelphia College of Osteopathic MedicineMiriam Friedman Ben‐DavidLoice SwishelJohn BechelDouglas Magee - Einstein Medical Center PhiladelphiaRobert McNamara - Drexel UniversityMark Zwanger - Thomas Jefferson University
- Publication Details
- Academic emergency medicine, v 3(12), pp 1119-1123
- Publisher
- Blackwell Publishing Ltd
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Emergency Medicine
- Web of Science ID
- WOS:A1996VX02500010
- Scopus ID
- 2-s2.0-0029837138
- Other Identifier
- 991019167702004721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Emergency Medicine