The Reliability of 2-Station Clerkship Objective Structured Clinical Examinations in Isolation and in Aggregate

Journal of Medical Education and Curricular Development
Aaron W BernardChristine VanCott

Abstract

Most medical schools in the United States report having a 5- to 10-station objective structured clinical examination (OSCE) at the end of the core clerkship phase of the curriculum to assess clinical skills. We set out to investigate an alternative OSCE structure in which each clerkship has a 2-station OSCE. This study looked to determine the reliability of clerkship OSCEs in isolation to inform composite clerkship grading, as well as the reliability in aggregate, as a potential alternative to an end-of-third-year examination. Clerkship OSCE data from the 2017-2018 academic year were analyzed: the generalizability coefficient (ρ2) and index of dependability (φ) were calculated for clerkships in isolation and in aggregate using variance components analysis. In all, 93 students completed all examinations. The average generalizability coefficient for the individual clerkships was .47. Most often, the largest variance component was the interaction between the student and the station, indicating inconsistency in the performance of students between the 2 stations. Aggregate clerkship OSCE analysis demonstrated good reliability for consistency (ρ2 = .80). About one-third (33.8%) of the variance can be attributed to students, 8.2% can ...Continue Reading

References

Oct 10, 2008·Academic Medicine : Journal of the Association of American Medical Colleges·Katherine BergJ Jon Veloski
Jan 27, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Julia CorcoranDebra A DaRosa
Aug 26, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Kimberly A SwygertAnn Jobe
Oct 13, 2011·Medical Education·Michael T BrannickMatthew Prewett
Oct 28, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Rachel YudkowskyGeorges Bordage
Aug 24, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·William P BurdickKim Edward LeBlanc
Apr 27, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Nikki L Bibler ZaidiSally A Santen
Aug 17, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Karen E Hauer, Catherine R Lucey
Sep 7, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·David C Schilling

❮ Previous
Next ❯

Software Mentioned

SPSS
Netter SOM

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.