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Design and validation of 2 objective structured clinical examination stations to assess core undergraduate examination skills of the hand and knee.
J Rheumatol. 2007 Feb; 34(2):421-4.JR

Abstract

OBJECTIVE

To evaluate the development, validity, and reliability of 2 undergraduate Objective Structured Clinical Examination (OSCE) stations for core hand and knee examination skills.

METHODS

Two OSCE stations for hand and knee based on core skills were developed, and qualitatively assessed for face and content validity by an expert consensus panel. Construct validity was evaluated by comparing the performance of third- (n = 21) and fifth-year (n = 50) medical students with 6 specialist registrars (SpR) in rheumatology. Concurrent validity was evaluated by correlating the scores of the fifth-year students with their eventual final examination scores. The fifth-year data were used to calculate the interrater and intrarater reliabilities of 2 examiners. Intrarater reliability analyzed repeat scores using videotapes of the examinations.

RESULTS

Both stations were deemed to fulfil face and content validity criteria by the expert consensus panel. There was no significant difference in the mean scores of the third- and fifth-years. There were significant differences in the mean scores between both student groups and the SpR in both stations consistent with a valid construct theory. The fifth-year hand OSCE results correlated moderately with other indices of clinical skills, but not knowledge, and satisfied concurrent validity. Inter- and intrarater reliability for both stations was high.

CONCLUSION

These OSCE stations are valid and reliable tools for testing competency in core hand and knee examination skills. They can be used in educational research as outcome measures of specific teaching interventions and can also be used as an early feedback tool when teaching joint examination.

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Publisher Full Text

Authors+Show Affiliations

Raj N
Department of Rheumatology, Derbyshire Royal Infirmary, Derby, UK. Nicholas.raj@nhs.net
Badcock LJ
No affiliation info available
Brown GA
No affiliation info available
Deighton CM
No affiliation info available
O'Reilly SC
No affiliation info available

MeSH

Clinical CompetenceEducation, Medical, UndergraduateHandHumansKneeObserver VariationPhysical ExaminationReproducibility of ResultsRheumatology

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Validation Study

Language

eng

PubMed ID

17304661

Citation

Raj, Nicholas, et al. "Design and Validation of 2 Objective Structured Clinical Examination Stations to Assess Core Undergraduate Examination Skills of the Hand and Knee." The Journal of Rheumatology, vol. 34, no. 2, 2007, pp. 421-4.
Raj N, Badcock LJ, Brown GA, et al. Design and validation of 2 objective structured clinical examination stations to assess core undergraduate examination skills of the hand and knee. J Rheumatol. 2007;34(2):421-4.
Raj, N., Badcock, L. J., Brown, G. A., Deighton, C. M., & O'Reilly, S. C. (2007). Design and validation of 2 objective structured clinical examination stations to assess core undergraduate examination skills of the hand and knee. The Journal of Rheumatology, 34(2), 421-4.
Raj N, et al. Design and Validation of 2 Objective Structured Clinical Examination Stations to Assess Core Undergraduate Examination Skills of the Hand and Knee. J Rheumatol. 2007;34(2):421-4. PubMed PMID: 17304661.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Design and validation of 2 objective structured clinical examination stations to assess core undergraduate examination skills of the hand and knee. AU - Raj,Nicholas, AU - Badcock,Louisa J, AU - Brown,George A, AU - Deighton,Christopher M, AU - O'Reilly,Sheila C, PY - 2007/2/17/pubmed PY - 2007/7/10/medline PY - 2007/2/17/entrez SP - 421 EP - 4 JF - The Journal of rheumatology JO - J Rheumatol VL - 34 IS - 2 N2 - OBJECTIVE: To evaluate the development, validity, and reliability of 2 undergraduate Objective Structured Clinical Examination (OSCE) stations for core hand and knee examination skills. METHODS: Two OSCE stations for hand and knee based on core skills were developed, and qualitatively assessed for face and content validity by an expert consensus panel. Construct validity was evaluated by comparing the performance of third- (n = 21) and fifth-year (n = 50) medical students with 6 specialist registrars (SpR) in rheumatology. Concurrent validity was evaluated by correlating the scores of the fifth-year students with their eventual final examination scores. The fifth-year data were used to calculate the interrater and intrarater reliabilities of 2 examiners. Intrarater reliability analyzed repeat scores using videotapes of the examinations. RESULTS: Both stations were deemed to fulfil face and content validity criteria by the expert consensus panel. There was no significant difference in the mean scores of the third- and fifth-years. There were significant differences in the mean scores between both student groups and the SpR in both stations consistent with a valid construct theory. The fifth-year hand OSCE results correlated moderately with other indices of clinical skills, but not knowledge, and satisfied concurrent validity. Inter- and intrarater reliability for both stations was high. CONCLUSION: These OSCE stations are valid and reliable tools for testing competency in core hand and knee examination skills. They can be used in educational research as outcome measures of specific teaching interventions and can also be used as an early feedback tool when teaching joint examination. SN - 0315-162X UR - https://www.unboundmedicine.com/medline/citation/17304661/Design_and_validation_of_2_objective_structured_clinical_examination_stations_to_assess_core_undergraduate_examination_skills_of_the_hand_and_knee_ L2 - http://www.jrheum.org/cgi/pmidlookup?view=long&pmid=17304661 DB - PRIME DP - Unbound Medicine ER -