Performance-based assessment of clinical ethics using an objective structured clinical examination.
Acad Med
; 71(5): 495-8, 1996 May.
Article
em En
| MEDLINE
| ID: mdl-9114869
ABSTRACT
PURPOSE:
To further examine the objective structured clinical examination (OSCE) as a performance-based assessment method for clinical ethics.METHOD:
In the spring of 1993, a volunteer sample of 88 final-year medical students from all five Ontario medical schools took a four-station OSCE that used standardized patients and involved decisions to forego life-sustaining treatment. Performance was scored on a checklist of behaviors unique to each case. Data were analyzed for reliability using intraclass correlation coefficients and the Spearman-Brown prophecy formula.RESULTS:
Reliability of the test was only .28 as a result of a low average inter-station correlation of .07. To achieve a test reliability of .8, 41 stations (almost seven hours of testing time) would be required.CONCLUSION:
Because of its low test reliability, the OSCE is not a feasible stand-alone method for summative evaluation of clinical ethics. This performance-based evaluation method should be combined with other, more reliable evaluation methods. The OSCE has promise for formative evaluation.Palavras-chave
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Competência Profissional
/
Estudantes de Medicina
/
Avaliação Educacional
/
Ética Médica
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Acad Med
Assunto da revista:
EDUCACAO
Ano de publicação:
1996
Tipo de documento:
Article
País de afiliação:
Canadá