دورية أكاديمية
Application of a Utility Analysis to Evaluate a Novel Assessment Tool for Clinically Oriented Physiology and Pharmacology
| العنوان: | Application of a Utility Analysis to Evaluate a Novel Assessment Tool for Clinically Oriented Physiology and Pharmacology |
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| اللغة: | English |
| المؤلفون: | Cramer, Nicholas, Asmar, Abdo, Gorman, Laurel, Gros, Bernard, Harris, David, Howard, Thomas, Hussain, Mujtaba, Salazar, Sergio, Kibble, Jonathan D. |
| المصدر: | Advances in Physiology Education. Sep 2016 40(3):304-312. |
| الإتاحة: | American Physiological Society. 9650 Rockville Pike, Bethesda, MD 20814-3991. Tel: 301-634-7164; Fax: 301-634-7241; e-mail: webmaster@the-aps.org; Web site: http://advan.physiology.org/ |
| Peer Reviewed: | Y |
| Page Count: | 9 |
| تاريخ النشر: | 2016 |
| نوع الوثيقة: | Journal Articles Reports - Research |
| Education Level: | Higher Education Postsecondary Education |
| Descriptors: | Physiology, Pharmacology, Multiple Choice Tests, Cost Effectiveness, Medical Students, Predictive Validity, Correlation, Medical Schools, Mixed Methods Research, Medical Education, Summative Evaluation, Formative Evaluation, Generalizability Theory, Comparative Analysis, Interviews, Focus Groups, Scoring Rubrics |
| مصطلحات جغرافية: | Florida (Orlando) |
| DOI: | 10.1152/advan.00140.2015 |
| تدمد: | 1043-4046 |
| مستخلص: | Multiple-choice questions are a gold-standard tool in medical school for assessment of knowledge and are the mainstay of licensing examinations. However, multiple-choice questions items can be criticized for lacking the ability to test higher-order learning or integrative thinking across multiple disciplines. Our objective was to develop a novel assessment that would address understanding of pathophysiology and pharmacology, evaluate learning at the levels of application, evaluation and synthesis, and allow students to demonstrate clinical reasoning. The rubric assesses student writeups of clinical case problems. The method is based on the physician's traditional postencounter Subjective, Objective, Assessment and Plan note. Students were required to correctly identify subjective and objective findings in authentic clinical case problems, to ascribe pathophysiological as well as pharmacological mechanisms to these findings, and to justify a list of differential diagnoses. A utility analysis was undertaken to evaluate the new assessment tool by appraising its reliability, validity, feasibility, cost effectiveness, acceptability, and educational impact using a mixed-method approach. The Subjective, Objective, Assessment and Plan assessment tool scored highly in terms of validity and educational impact and had acceptable levels of statistical reliability but was limited in terms of acceptance, feasibility, and cost effectiveness due to high time demands on expert graders and workload concerns from students. We conclude by making suggestions for improving the tool and recommend deployment of the instrument for low-stakes summative assessment or formative assessment. |
| Abstractor: | As Provided |
| Number of References: | 33 |
| Entry Date: | 2016 |
| رقم الأكسشن: | EJ1108762 |
| قاعدة البيانات: | ERIC |
| تدمد: | 1043-4046 |
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| DOI: | 10.1152/advan.00140.2015 |