Assessing the validity of an OSCE developed to assess rare, emergent or complex clinical conditions in endocrinology & metabolism

BMC Medical Education

Stephanie Dizon¹  Janine C Malcolm¹  Debra Pugh²  Jan-Joost Rethans³ 

[1] Department of Medicine, The Ottawa Hospital, 1967 Riverside Drive, 4th Floor, K1H 7W9, Ottawa, Ontario, Canada;Division of Endocrinology & Metabolism, The Ottawa Hospital, 1967 Riverside Drive, 4th Floor, K1H 7W9, Ottawa, Ontario, Canada;Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada;Department of Medicine, The Ottawa Hospital, 1967 Riverside Drive, 4th Floor, K1H 7W9, Ottawa, Ontario, Canada;Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada;Division of General Internal Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada;Medical Council of Canada, Ottawa, Ontario, Canada;Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands;

关键词: OSCE;    Kane’s validity framework;    Endocrinology;    Competency-Based Medical Education;   

DOI  :  10.1186/s12909-021-02653-4

来源: Springer

【 摘 要 】

BackgroundAssessment of emergent, rare or complex medical conditions in Endocrinology and Metabolism (E&M) is an integral component of training. However, data is lacking on how this could be best achieved. The purpose of this study was to develop and administer an Objective Structured Clinical Examination (OSCE) for E&M residents, and to gather validity evidence for its use.MethodsA needs assessment survey was distributed to all Canadian E&M Program Directors and recent graduates to determine which topics to include in the OSCE. The top 5 topics were selected using a modified Delphi technique. OSCE cases based on these topics were subsequently developed. Five E&M residents (PGY4-5) and five junior Internal Medicine (IM) residents participated in the OSCE. Performance of E&M and IM residents was compared and results were analyzed using a Generalizability study. Examiners and candidates completed a survey following the OSCE to evaluate their experiences.ResultsThe mean score of IM and E&M residents was 41.7 and 69.3 % (p < 0.001), respectively, with a large effect size (partial η2 = 0.75). Overall reliability of the OSCE was 0.74. Standard setting using a borderline regression method resulted in a pass rate of 100 % of E&M residents and 0 % of IM residents. All residents felt the OSCE had high value for learning as a formative exam.ConclusionsThe E&M OSCE is a feasible method for assessing emergent, rare and complex medical conditions and this study provides validity evidence to support its use in a competency-based curriculum.

【 授权许可】

CC BY