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An acute care skills evaluation for graduating medical students: a pilot study using clinical simulation

Authors :
David J. Murray
Julie Woodhouse
John R. Boulet
Joe Kras
John D. McAllister
Amitai Ziv
Source :
Medical Education. 36:833-841
Publication Year :
2002
Publisher :
Wiley, 2002.

Abstract

Purpose This investigation aimed to explore the measurement properties of scores from a patient simulator exercise. Methods Analytic and holistic scores were obtained for groups of medical students and residents. Item analysis techniques were used to explore the nature of specific examinee actions. Interrater reliability was calculated. Scores were contrasted for third year medical students, fourth year medical students and emergency department residents. Results Interrater reliabilities for analytic and holistic scores were 0·92 and 0·81, respectively. Based on item analysis, proper timing and sequencing of actions discriminated between low- and high-ability examinees. In general, examinees with more advanced training obtained higher scores on the simulation exercise. Conclusion Reliable and valid measures of clinical performance can be obtained from a trauma simulation provided that care is taken in the development and scoring of the scenario.

Details

ISSN :
03080110
Volume :
36
Database :
OpenAIRE
Journal :
Medical Education
Accession number :
edsair.doi...........40b1a98717d05d76b378e62b31870684
Full Text :
https://doi.org/10.1046/j.1365-2923.2002.01290.x