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A Diagnostic Fourth-Year Performance Assessment

A Diagnostic Fourth-Year Performance Assessment Abstract • The University of Massachusetts Medical Center, Worcester, attempted to develop a standardized, performance-based test battery aimed directly at assessing the critical aspects of clinical competence required for graduation from medical school. The battery used a blend of standardized patient-based and written test materials and was designed to yield a profile of scores, providing a "diagnosis" of student strengths and weaknesses on a skill-by-skill basis. Results indicate that a stable, reproducible assessment of clinical skills can be achieved in a one-to two-day test battery, depending on the specific skills measured. The resulting score profile provides faculty with important information about the clinical competence of students that is not readily available from other sources, thus improving the breadth and accuracy of student assessment. A long-term goal is that performance-based testing techniques will be incorporated into the licensure process to evaluate clinical skills and ensure the competence of graduating physicians. (Arch Intern Med 1987;147:1981-1985) References 1. Schroeder SA, Shawstack JA, Gerbert B: Residency training in internal medicine: Time for a change? Ann Intern Med 1986;104:554-561.Crossref 2. Foreman S: The changing medical care system: Some implications for medical education. J Med Educ 1986;61(pt 2):11-21. 3. Morgan WL: The environment for general clinical education. J Med Educ 1986;61(pt 2):47-58. 4. Association of American Medical Colleges: External examinations for the evaluation of medical education achievement and for licensure. J Med Educ 1981;56:933-962. 5. Linfors E, Neelon F: The case for bedside rounds. N Engl J Med 1980;21:1230-1233.Crossref 6. Collins G, Cassie J, Daggett C: The role of the attending physician in clinical training. J Med Educ 1978;53:429-431. 7. Stillman PL, Swanson DB, Smee S, et al: Assessing clinical skills of residents with standardized patients. Ann Intern Med 1986;105:762-771.Crossref 8. Stillman PL, Ruggill JS, Rutala PJ, et al: Patient instructors as teachers and evaluators. J Med Educ 1980;55:186-193. 9. Stillman P, Rutala P, Nicholson G, et al: Measurement of clinical competence of residents using patient instructors , in Proceedings of the 21st Annual Conference on Research in Medical Education . Washington, DC, Association of American Medical Colleges, 1982, pp 111-116. 10. Stillman PL, Burpeau-DiGregorio MY, Nicholson GI, et al: Six years of experience using patient instructors to teach interviewing skills. J Med Educ 1983;58:941-946. 11. Barrows HS: Simulated Patients (Programmed Patients): The Development and Use of a New Technique in Medical Education . Springfield, Ill, Charles C Thomas Publisher, 1971. 12. Norman GR, Neufeld VR, Walsh A, et al: Measuring physicians' performance by using simulated patients. J Med Educ 1985;60:925-934. 13. Burri A, McCaughan K, Barrows H: The feasibility of using the simulated patient as a means to evaluate clinical competence of practicing physicians in a community , in Proceedings of the 15th Annual Conference on Research in Medical Education . Washington, DC, Association of American Medical Colleges, 1976, pp 295-299. 14. Owen A, Winkler R: General practitioners and psychosocial problems: An evaluation using pseudopatients. Med J Aust 1974;2:393-398. 15. Norman GR, Tugwell P, Feightner JW: A comparison of resident performance on real and simulated patients. J Med Educ 1982;57:708-715. 16. Andrew B: The use of behavioral checklists to assess physical examination skills. J Med Educ 1977;52:589-591. 17. Stillman PL, Swanson DB: Ensuring the clinical competence of medical school graduates through standardized patients. Arch Intern Med 1987;147:1049-1052.Crossref 18. Stillman P, Brown D, Redfield D, et al: Construct validation of the Arizona clinical interview rating scale. Educ Psychol Meas 1977;77:1031-1038.Crossref 19. Stillman PL, Sabers DL, Redfield DL: The use of paraprofessionals to teach and evaluate interviewing skills. Pediatrics 1976;57:769-774. 20. Norcini JJ, Swanson DB, Grosso LJ, et al: A comparison of several methods for scoring patient management problems , in Proceedings of the 22nd Annual Conference on Research in Medical Education . Washington, DC, Association of American Medical Colleges, 1983, pp 41-45. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

A Diagnostic Fourth-Year Performance Assessment

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1987.00370110109016
Publisher site
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Abstract

Abstract • The University of Massachusetts Medical Center, Worcester, attempted to develop a standardized, performance-based test battery aimed directly at assessing the critical aspects of clinical competence required for graduation from medical school. The battery used a blend of standardized patient-based and written test materials and was designed to yield a profile of scores, providing a "diagnosis" of student strengths and weaknesses on a skill-by-skill basis. Results indicate that a stable, reproducible assessment of clinical skills can be achieved in a one-to two-day test battery, depending on the specific skills measured. The resulting score profile provides faculty with important information about the clinical competence of students that is not readily available from other sources, thus improving the breadth and accuracy of student assessment. A long-term goal is that performance-based testing techniques will be incorporated into the licensure process to evaluate clinical skills and ensure the competence of graduating physicians. (Arch Intern Med 1987;147:1981-1985) References 1. Schroeder SA, Shawstack JA, Gerbert B: Residency training in internal medicine: Time for a change? Ann Intern Med 1986;104:554-561.Crossref 2. Foreman S: The changing medical care system: Some implications for medical education. J Med Educ 1986;61(pt 2):11-21. 3. Morgan WL: The environment for general clinical education. J Med Educ 1986;61(pt 2):47-58. 4. Association of American Medical Colleges: External examinations for the evaluation of medical education achievement and for licensure. J Med Educ 1981;56:933-962. 5. Linfors E, Neelon F: The case for bedside rounds. N Engl J Med 1980;21:1230-1233.Crossref 6. Collins G, Cassie J, Daggett C: The role of the attending physician in clinical training. J Med Educ 1978;53:429-431. 7. Stillman PL, Swanson DB, Smee S, et al: Assessing clinical skills of residents with standardized patients. Ann Intern Med 1986;105:762-771.Crossref 8. Stillman PL, Ruggill JS, Rutala PJ, et al: Patient instructors as teachers and evaluators. J Med Educ 1980;55:186-193. 9. Stillman P, Rutala P, Nicholson G, et al: Measurement of clinical competence of residents using patient instructors , in Proceedings of the 21st Annual Conference on Research in Medical Education . Washington, DC, Association of American Medical Colleges, 1982, pp 111-116. 10. Stillman PL, Burpeau-DiGregorio MY, Nicholson GI, et al: Six years of experience using patient instructors to teach interviewing skills. J Med Educ 1983;58:941-946. 11. Barrows HS: Simulated Patients (Programmed Patients): The Development and Use of a New Technique in Medical Education . Springfield, Ill, Charles C Thomas Publisher, 1971. 12. Norman GR, Neufeld VR, Walsh A, et al: Measuring physicians' performance by using simulated patients. J Med Educ 1985;60:925-934. 13. Burri A, McCaughan K, Barrows H: The feasibility of using the simulated patient as a means to evaluate clinical competence of practicing physicians in a community , in Proceedings of the 15th Annual Conference on Research in Medical Education . Washington, DC, Association of American Medical Colleges, 1976, pp 295-299. 14. Owen A, Winkler R: General practitioners and psychosocial problems: An evaluation using pseudopatients. Med J Aust 1974;2:393-398. 15. Norman GR, Tugwell P, Feightner JW: A comparison of resident performance on real and simulated patients. J Med Educ 1982;57:708-715. 16. Andrew B: The use of behavioral checklists to assess physical examination skills. J Med Educ 1977;52:589-591. 17. Stillman PL, Swanson DB: Ensuring the clinical competence of medical school graduates through standardized patients. Arch Intern Med 1987;147:1049-1052.Crossref 18. Stillman P, Brown D, Redfield D, et al: Construct validation of the Arizona clinical interview rating scale. Educ Psychol Meas 1977;77:1031-1038.Crossref 19. Stillman PL, Sabers DL, Redfield DL: The use of paraprofessionals to teach and evaluate interviewing skills. Pediatrics 1976;57:769-774. 20. Norcini JJ, Swanson DB, Grosso LJ, et al: A comparison of several methods for scoring patient management problems , in Proceedings of the 22nd Annual Conference on Research in Medical Education . Washington, DC, Association of American Medical Colleges, 1983, pp 41-45.

Journal

Archives of Internal Medicine – American Medical Association

Published: Nov 1, 1987

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