PMID: 8959166Dec 1, 1996Paper

Reliability of performance-based clinical skill assessment of emergency medicine residents

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
W P BurdickM Zwanger

Abstract

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. 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. Global score reliability, Cronbach's alpha = 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 completen...Continue Reading

References

Sep 1, 1990·Journal of General Internal Medicine·S C DayM H Horne
Nov 1, 1986·Annals of Internal Medicine·P L StillmanC Hatem
Oct 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·W P Burdick, J Schoffstall

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Citations

Nov 5, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Cherri D HobgoodGlen Hamilton
Apr 26, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Philip ShayneUNKNOWN CORD SDOT Study Group
Apr 9, 2009·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Frank T LeoneUNKNOWN Pennsylvania Continuum of Tobacco Education work group
Nov 17, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Resa E LewissEsther H Chen
Jan 14, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·James G RyanManish Sharma
Feb 24, 2006·Annals of Emergency Medicine·David E MantheyUNKNOWN Task Force on National Fourth Year Medical Student Emergency Medicine Curriculum Guide
Apr 7, 2007·Anesthesiology·John E Tetzlaff
Jan 19, 2017·AEM Education and Training·Shlomo MinkowitzRoger J Bartolotta

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