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Brian Hodges M.D., M.Ed., F.R.C.P.C. 1 and Jodi Lofchy M.D., F.R.C.P.C. 1 1 Clarke Institute of Psychiatry, Department of Psychiatry, University of Toronto, Ontario, Canada Although objective structured clinical examinations (OSCEs) are well-accepted performance-based assessments with good reliability, psychiatric educators have been slow to adopt this evaluation method, opting for oral exams that often have inferior psychometric properties. A 4-station " mini-OSCE" was developed and used to test 42 clinical clerks in psychiatry. The examination mean score and standard deviation were 74% and 8.08, respectively, while individual scores ranged from 56% to 86%. Interstation reliability was 0.61. Student and faculty satisfaction was high. A " mini-OSCE" for psychiatric clinical clerks confers the benefits of acceptable reliability and a high degree of acceptance without incurring the high costs usually associated with OSCE evaluation. Note: The authors would like to thank Glenn Regehr, Ph.D., for statistical support and Richard Tiberius, Ph.D., for help in clarifying the research agenda.

Evaluating Psychiatric Clinical Clerks With a Mini-Objective Structured Clinical Examination

Abstract

Brian Hodges M.D., M.Ed., F.R.C.P.C. 1 and Jodi Lofchy M.D., F.R.C.P.C. 1 1 Clarke Institute of Psychiatry, Department of Psychiatry, University of Toronto, Ontario, Canada Although objective structured clinical examinations (OSCEs) are well-accepted performance-based assessments with good reliability, psychiatric educators have been slow to adopt this evaluation method, opting for oral exams that often have inferior psychometric properties. A 4-station " mini-OSCE" was developed and used to test 42 clinical clerks in psychiatry. The examination mean score and standard deviation were 74% and 8.08, respectively, while individual scores ranged from 56% to 86%. Interstation reliability was 0.61. Student and faculty satisfaction was high. A " mini-OSCE" for psychiatric clinical clerks confers the benefits of acceptable reliability and a high degree of acceptance without incurring the high costs usually associated with OSCE evaluation. Note: The authors would like to thank Glenn Regehr, Ph.D., for statistical support and Richard Tiberius, Ph.D., for help in clarifying the research agenda.
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Evaluating Psychiatric Clinical Clerks With a Mini-Objective Structured Clinical Examination

Hodges, Brian; Lofchy, Jodi
Academic Psychiatry , Volume 21 (4): 219
American Psychiatric Publishing, Inc (Journal) Dec 1, 1997

More Info

  • Publisher AADPRT
  • Copyright Copyright © 1997 Academic Psychiatry. All rights reserved.
  • ISSN 1042-9670
  • D.O.I. 10.1176/appi.ap.21.4.219
  • Publisher site Get PDF  

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