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Sources of validity evidence for an internal medicine student evaluation system: an evaluative study of assessment methods.
Med Educ. 2005 Mar; 39(3):276-83.ME

Abstract

BACKGROUND

Medical students' final clinical grades in internal medicine are based on the results of multiple assessments that reflect not only the students' knowledge, but also their skills and attitudes.

OBJECTIVE

To examine the sources of validity evidence for internal medicine final assessment results comprising scores from 3 evaluations and 2 examinations.

METHODS

The final assessment scores of 8 cohorts of Year 4 medical students in a 6-year undergraduate programme were analysed. The final assessment scores consisted of scores in ward evaluations (WEs), preceptor evaluations (PREs), outpatient clinic evaluations (OPCs), general knowledge and problem-solving multiple-choice questions (MCQs), and objective structured clinical examinations (OSCEs). Sources of validity evidence examined were content, response process, internal structure, relationship to other variables, and consequences.

RESULTS

The median generalisability coefficient of the OSCEs was 0.62. The internal consistency reliability of the MCQs was 0.84. Scores for OSCEs correlated well with WE, PRE and MCQ scores with observed (disattenuated) correlation of 0.36 (0.77), 0.33 (0.71) and 0.48 (0.69), respectively. Scores for WEs and PREs correlated better with OSCE than MCQ scores. Sources of validity evidence including content, response process, internal structure and relationship to other variables were shown for most components.

CONCLUSION

There is sufficient validity evidence to support the utilisation of various types of assessment scores for final clinical grades at the end of an internal medicine rotation. Validity evidence should be examined for any final student evaluation system in order to establish the meaningfulness of the student assessment scores.

Authors+Show Affiliations

Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. chirayaue@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15733163

Citation

Auewarakul, Chirayu, et al. "Sources of Validity Evidence for an Internal Medicine Student Evaluation System: an Evaluative Study of Assessment Methods." Medical Education, vol. 39, no. 3, 2005, pp. 276-83.
Auewarakul C, Downing SM, Jaturatamrong U, et al. Sources of validity evidence for an internal medicine student evaluation system: an evaluative study of assessment methods. Med Educ. 2005;39(3):276-83.
Auewarakul, C., Downing, S. M., Jaturatamrong, U., & Praditsuwan, R. (2005). Sources of validity evidence for an internal medicine student evaluation system: an evaluative study of assessment methods. Medical Education, 39(3), 276-83.
Auewarakul C, et al. Sources of Validity Evidence for an Internal Medicine Student Evaluation System: an Evaluative Study of Assessment Methods. Med Educ. 2005;39(3):276-83. PubMed PMID: 15733163.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sources of validity evidence for an internal medicine student evaluation system: an evaluative study of assessment methods. AU - Auewarakul,Chirayu, AU - Downing,Steven M, AU - Jaturatamrong,Uapong, AU - Praditsuwan,Rungnirand, PY - 2005/3/1/pubmed PY - 2005/4/5/medline PY - 2005/3/1/entrez SP - 276 EP - 83 JF - Medical education JO - Med Educ VL - 39 IS - 3 N2 - BACKGROUND: Medical students' final clinical grades in internal medicine are based on the results of multiple assessments that reflect not only the students' knowledge, but also their skills and attitudes. OBJECTIVE: To examine the sources of validity evidence for internal medicine final assessment results comprising scores from 3 evaluations and 2 examinations. METHODS: The final assessment scores of 8 cohorts of Year 4 medical students in a 6-year undergraduate programme were analysed. The final assessment scores consisted of scores in ward evaluations (WEs), preceptor evaluations (PREs), outpatient clinic evaluations (OPCs), general knowledge and problem-solving multiple-choice questions (MCQs), and objective structured clinical examinations (OSCEs). Sources of validity evidence examined were content, response process, internal structure, relationship to other variables, and consequences. RESULTS: The median generalisability coefficient of the OSCEs was 0.62. The internal consistency reliability of the MCQs was 0.84. Scores for OSCEs correlated well with WE, PRE and MCQ scores with observed (disattenuated) correlation of 0.36 (0.77), 0.33 (0.71) and 0.48 (0.69), respectively. Scores for WEs and PREs correlated better with OSCE than MCQ scores. Sources of validity evidence including content, response process, internal structure and relationship to other variables were shown for most components. CONCLUSION: There is sufficient validity evidence to support the utilisation of various types of assessment scores for final clinical grades at the end of an internal medicine rotation. Validity evidence should be examined for any final student evaluation system in order to establish the meaningfulness of the student assessment scores. SN - 0308-0110 UR - https://www.unboundmedicine.com/medline/citation/15733163/Sources_of_validity_evidence_for_an_internal_medicine_student_evaluation_system:_an_evaluative_study_of_assessment_methods_ DB - PRIME DP - Unbound Medicine ER -