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Evaluation using simulated students for reliability of multiple standardized-patients scoring in clinical performance examinations
Cited 3 time in
Web of Science
Cited 3 time in Scopus
- Authors
- Issue Date
- 2007-07
- Publisher
- Taylor & Francis
- Citation
- Medical Teacher, Vol.29 No.9-10, pp.978-980
- Abstract
- Background: The consistency of rating among different standardized patients (SPs) is very important in clinical performance examinations (CPX). Aims: We evaluated the usefulness of simulated students to assess the reliability of a group of standardized patients in a CPX. Methods: Five SPs in each case were trained to simulate the same patient in a CPX. Ten fourth-year medical student volunteers were selected to act as simulated students. After the simulated students encountered the first SP, they reviewed a video of their performance and sequentially repeated the performance with the other 4 SPs. Results: The average maximum difference (max SD) of multiple SPs' percent scores on a simulated student was 18 7. In 10 pairs of SPs who gave largest max on a given student, the median max was 30 (range, 26-38) while median difference of percent score in the faculty scoring on the same simulated student was 3 (range, 0-7). Five problematic SPs whose ratings were significantly different from 3 or more other SPs' ratings in each case were identified. Conclusions: Simulated students may be a useful means to check the consistency of rating among different SPs in a CPX.
- ISSN
- 0142-159X
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