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Reliability and validity of an objective structured clinical examination for assessing the clinical performance of residents.
Arch Intern Med. 1990 Mar; 150(3):573-7.AI

Abstract

Clinical performance of residents should be assessed as reliably and validly as possible. This study investigated the reliability and validity of an objective structured clinical examination (OSCE) for assessing clinical performance of internal medicine residents. Residents were required to take a 17-patient OSCE in their first and second year. Reliability of the OSCE was 0.40. Validity studies indicated second-year students were significantly better than third-year students for five of six OSCE skill scores; first-year students were significantly better for three scores. Resident's scores for diagnosis, plan, and total significantly increased on their second OSCE. Generally faculty overall ratings of residents' clinical performance did not correlate with OSCE scores. American Board of Internal Medicine certifying examination scores were consistently positively correlated only with diagnosis. This 17-case OSCE is a feasible method for obtaining moderately reliable, valid data not available from other sources about the clinical performance of residents. More cases should be added to increase its reliability.

Authors+Show Affiliations

Petrusa ER
Department of Internal Medicine, University of Texas Medical Branch, Galveston 77550.
Blackwell TA
No affiliation info available
Ainsworth MA
No affiliation info available

MeSH

Clinical CompetenceEducational MeasurementEvaluation Studies as TopicFaculty, MedicalHumansInternal MedicineInternship and ResidencyReproducibility of ResultsTexas

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

2310275

Citation

Petrusa, E R., et al. "Reliability and Validity of an Objective Structured Clinical Examination for Assessing the Clinical Performance of Residents." Archives of Internal Medicine, vol. 150, no. 3, 1990, pp. 573-7.
Petrusa ER, Blackwell TA, Ainsworth MA. Reliability and validity of an objective structured clinical examination for assessing the clinical performance of residents. Arch Intern Med. 1990;150(3):573-7.
Petrusa, E. R., Blackwell, T. A., & Ainsworth, M. A. (1990). Reliability and validity of an objective structured clinical examination for assessing the clinical performance of residents. Archives of Internal Medicine, 150(3), 573-7.
Petrusa ER, Blackwell TA, Ainsworth MA. Reliability and Validity of an Objective Structured Clinical Examination for Assessing the Clinical Performance of Residents. Arch Intern Med. 1990;150(3):573-7. PubMed PMID: 2310275.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reliability and validity of an objective structured clinical examination for assessing the clinical performance of residents. AU - Petrusa,E R, AU - Blackwell,T A, AU - Ainsworth,M A, PY - 1990/3/1/pubmed PY - 1990/3/1/medline PY - 1990/3/1/entrez SP - 573 EP - 7 JF - Archives of internal medicine JO - Arch Intern Med VL - 150 IS - 3 N2 - Clinical performance of residents should be assessed as reliably and validly as possible. This study investigated the reliability and validity of an objective structured clinical examination (OSCE) for assessing clinical performance of internal medicine residents. Residents were required to take a 17-patient OSCE in their first and second year. Reliability of the OSCE was 0.40. Validity studies indicated second-year students were significantly better than third-year students for five of six OSCE skill scores; first-year students were significantly better for three scores. Resident's scores for diagnosis, plan, and total significantly increased on their second OSCE. Generally faculty overall ratings of residents' clinical performance did not correlate with OSCE scores. American Board of Internal Medicine certifying examination scores were consistently positively correlated only with diagnosis. This 17-case OSCE is a feasible method for obtaining moderately reliable, valid data not available from other sources about the clinical performance of residents. More cases should be added to increase its reliability. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/2310275/Reliability_and_validity_of_an_objective_structured_clinical_examination_for_assessing_the_clinical_performance_of_residents_ DB - PRIME DP - Unbound Medicine ER -