Can standardized patients replace physicians as OSCE examiners?

BMC Medical Education
Kevin McLaughlinSylvain Coderre

Abstract

To reduce inter-rater variability in evaluations and the demand on physician time, standardized patients (SP) are being used as examiners in OSCEs. There is concern that SP have insufficient training to provide valid evaluation of student competence and/or provide feedback on clinical skills. It is also unknown if SP ratings predict student competence in other areas. The objectives of this study were: to examine student attitudes towards SP examiners; to compare SP and physician evaluations of competence; and to compare predictive validity of these scores, using performance on the multiple choice questions examination (MCQE) as the outcome variable. This was a cross-sectional study of third-year medical students undergoing an OSCE during the Internal Medicine clerkship rotation. Fifty-two students rotated through 8 stations (6 physician, 2 SP examiners). Statistical tests used were Pearson's correlation coefficient, two-sample t-test, effect size calculation, and multiple linear regression. Most students reported that SP stations were less stressful, that SP were as good as physicians in giving feedback, and that SP were sufficiently trained to judge clinical skills. SP scored students higher than physicians (mean 90.4% +/- 8.9...Continue Reading

References

May 1, 1989·Medical Education·C P van der VleutenD B Swanson
Jul 1, 1994·Academic Medicine : Journal of the Association of American Medical Colleges·J L HasleH M Szerlip
Feb 1, 1996·Academic Medicine : Journal of the Association of American Medical Colleges·J A MartinG Regehr
Aug 14, 1999·Medical Education·R C McGraw, H M O'Connor
Dec 12, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·A I Rothman, M Cusimano
Sep 14, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Chantal BrazeauJesse Crosson
Dec 11, 2002·Medical Education·Tim J Wilkinson, Sylvie Fontaine

❮ Previous
Next ❯

Citations

Nov 28, 2013·Teaching and Learning in Medicine·David B Swanson, Cees P M van der Vleuten
Mar 29, 2007·Annals of Family Medicine·Kevin FiscellaRonald Epstein
Dec 15, 2007·American Journal of Pharmaceutical Education·Ahmed AwaisuQais Ahmad Mohammad Al-Efan
Mar 6, 2013·American Journal of Pharmaceutical Education·Ronald E RaganSusan J Chi
Jul 15, 2015·Medical Teacher·Rebecca J M BardgettNicola Kime
Nov 17, 2011·The Journal of Nursing Education·Claudia SchlegelCees van der Vleuten
Oct 13, 2015·Journal of Graduate Medical Education·John H PorcerelliTsveti Markova
Jul 12, 2014·Journal of Surgical Education·Abdulrasheed A NasirJames O Adeniran
Nov 20, 2018·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·Gülşen Taşdelen Teker, Orhan Odabaşı
Oct 1, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Julie A CarsonKevin McLaughlin
Feb 6, 2018·Medical Teacher·Richard B HaysTarun K Sen Gupta
Sep 1, 2009·Journal of Graduate Medical Education·Susan HingleMichael Clark
Aug 13, 2013·Medical Education·Jennifer L JohnstonGerard J Gormley
Jun 19, 2019·BMC Medical Education·Hua-Xia YangHui Pan
Apr 9, 2019·Medical Teacher·Karen Coetzee, Sandra Monteiro
Dec 22, 2019·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Jihye YuInwhee Park
Jan 17, 2020·BMC Medical Education·Ayesha Aleem Qureshi, Tabassum Zehra
Dec 15, 2019·Currents in Pharmacy Teaching & Learning·Jonathan C ChoFrank S Yu
Mar 4, 2021·Medical Teacher·Syed GilaniSiddharth Sinha
Nov 15, 2014·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Amanda K GilesPeter J Bowman

❮ Previous
Next ❯

Software Mentioned

STATA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved