دورية أكاديمية
أعرض في EDS

Validity, reliability and feasibility of a new observation rating tool and a post encounter rating tool for the assessment of clinical reasoning skills of medical students during their internal medicine clerkship: a pilot study.

التفاصيل البيبلوغرافية
العنوان: Validity, reliability and feasibility of a new observation rating tool and a post encounter rating tool for the assessment of clinical reasoning skills of medical students during their internal medicine clerkship: a pilot study.
المؤلفون: Haring CM; Radboud university medical center, Nijmegen, The Netherlands. karin.haring@radboudumc.nl., Klaarwater CCR; Radboud university medical center, Nijmegen, The Netherlands., Bouwmans GA; Radboud university medical center, Nijmegen, The Netherlands., Cools BM; Radboud university medical center, Nijmegen, The Netherlands., van Gurp PJM; Radboud university medical center, Nijmegen, The Netherlands., van der Meer JWM; Radboud university medical center, Nijmegen, The Netherlands., Postma CT; Radboud university medical center, Nijmegen, The Netherlands.
المصدر: BMC medical education [BMC Med Educ] 2020 Jun 19; Vol. 20 (1), pp. 198. Date of Electronic Publication: 2020 Jun 19.
نوع المنشور: Journal Article; Validation Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Clinical Clerkship* , Clinical Competence* , Clinical Reasoning* , Students, Medical*, Educational Measurement/*standards , Internal Medicine/*education, Feasibility Studies ; Humans ; Pilot Projects ; Reproducibility of Results
مستخلص: Background: Systematic assessment of clinical reasoning skills of medical students in clinical practice is very difficult. This is partly caused by the lack of understanding of the fundamental mechanisms underlying the process of clinical reasoning.
Methods: We previously developed an observation tool to assess the clinical reasoning skills of medical students during clinical practice. This observation tool consists of an 11-item observation rating form (ORT). In the present study we verified the validity, reliability and feasibility of this tool and of an already existing post-encounter rating tool (PERT) in clinical practice among medical students during the internal medicine clerkship.
Results: Six raters each assessed the same 15 student-patient encounters. The internal consistency (Cronbach's alfa) for the (ORT) was 0.87 (0.71-0.84) and the 5-item (PERT) was 0.81 (0.71-0.87). The intraclass-correlation coefficient for single measurements was poor for both the ORT; 0.32 (p < 0.001) as well as the PERT; 0.36 (p < 0.001). The Generalizability study (G-study) and decision study (D-study) showed that 6 raters are required to achieve a G-coefficient of > 0.7 for the ORT and 7 raters for the PERT. The largest sources of variance are the interaction between raters and students. There was a consistent correlation between the ORT and PERT of 0.53 (p = 0.04).
Conclusions: The ORT and PERT are both feasible, valid and reliable instruments to assess students' clinical reasoning skills in clinical practice.
References: JAMA. 1983 Aug 12;250(6):777-81. (PMID: 6876333)
Adv Health Sci Educ Theory Pract. 2011 Mar;16(1):131-42. (PMID: 20559868)
Teach Learn Med. 2006 Spring;18(2):99-104. (PMID: 16626266)
Acad Med. 2006 Oct;81(10 Suppl):S56-60. (PMID: 17001137)
Acad Emerg Med. 2012 Dec;19(12):1454-61. (PMID: 23279251)
Med Educ. 2012 Jan;46(1):38-48. (PMID: 22150195)
J Med Educ. 1984 Jan;59(1):19-23. (PMID: 6690694)
Med Teach. 2012;34(1):30-7. (PMID: 22250673)
BMC Med Educ. 2017 Aug 29;17(1):147. (PMID: 28851340)
Med Teach. 2018 Nov;40(11):1102-1109. (PMID: 30299187)
Adv Health Sci Educ Theory Pract. 2014 May;19(2):233-50. (PMID: 23636643)
Best Pract Res Clin Obstet Gynaecol. 2010 Dec;24(6):703-19. (PMID: 20510653)
Adv Health Sci Educ Theory Pract. 2013 Aug;18(3):375-96. (PMID: 22592323)
Behav Res Methods. 2006 Aug;38(3):542-7. (PMID: 17186766)
Med Teach. 2020 Feb;42(2):125-142. (PMID: 31524016)
J Gen Intern Med. 2009 Jan;24(1):74-9. (PMID: 19002533)
فهرسة مساهمة: Keywords: Clinical reasoning; History taking
تواريخ الأحداث: Date Created: 20200621 Date Completed: 20210322 Latest Revision: 20210322
رمز التحديث: 20240513
مُعرف محوري في PubMed: PMC7304120
DOI: 10.1186/s12909-020-02110-8
PMID: 32560648
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6920
DOI:10.1186/s12909-020-02110-8