کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6152677 | 1245959 | 2012 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Optimizing the utility of communication OSCEs: Omit station-specific checklists and provide students with narrative feedback Optimizing the utility of communication OSCEs: Omit station-specific checklists and provide students with narrative feedback](/preview/png/6152677.png)
ObjectiveTo evaluate how the utility (reliability, validity, acceptability, feasibility, cost and educational impact) of a communication-OSCE was influenced by whether or not station-specific (StSp) checklists were used together with a generic instrument and whether or not narrative feedback was provided to students.MethodsAt ten stations, faculty members rated standardized patient-student interactions using the Common Ground (CG) instrument (at all stations) and StSp-checklists. Both raters and patients provided written feedback. The impact of changing the design on the various utility parameters was assessed: reliability by means of a generalizability study, cost using the Reznick model and the other utility parameters by means of a survey.ResultsUse of the generic instrument (CG) proved more reliable (G coefficient = 0.67) than using the StSp-checklists (G = 0.47) or both (G = 0.65) while there was a high correlation between both scale scores (Pearsons' r = 0.86). The cost was 6.5% higher when StSp-checklists were used and 5% higher when narrative feedback was provided.ConclusionThe utility of a communication OSCE can be enhanced by omitting StSp-checklists and by providing narrative feedback to students.Practice implicationsThe same generic assessment scale can be used in all stations of a communication OSCE. Providing feedback to students is promising but it increases the costs.
Journal: Patient Education and Counseling - Volume 88, Issue 1, July 2012, Pages 106-112