


Report Broken Links Here	home contact

9th Annual Meeting
of the
International Association of Medical Science Educators

July 14-19, 2005

Abstract Category: Assessment

Poster ID: A2

VALIDITY AND RELIABILITY OF STANDARDIZED ETHICAL OBJECTIVE STRUCTURED CLINICAL EXAMINATION ON STUDENTS ATTITUDE AND PERFORMANCE

Makachen N, MD MPH*, Tienjaruwattana V, MD, Vasanawthana S, MD. Clinical Educational Center, Khonkaen Regional Hospital , Khonkaen 40000 Thailand

Ten intern physicians and thirty-three senior year medical students of Khonkaen Hospital were examined their clinical ethics with the method of objective structured clinical examination (OSCE). Fifteen examination stations were established to evaluate professional attitude, carrying bad news, moral and abortion issues, patient’s rights, dealing with malpractice by another doctor, professional disagreement, conflict of interest, and issues of confidentiality. Ten four-minute stations used VCD between physicians and standardized patients. Five six-minute stations used standardized patients and families, and each student was scored on his attitude and performance. Checklists had equal values each station and rating by two independent observers, one was physician and the other was a paramedical who rarely interacted with students. The validity was evaluated; 1) with regard to each question’s objective and 2) comparing to the direct obervation score, based on the attitude and performance in patient care giving taken throughout the year by staff in each department.

Using Spearman's correlations and Intraclass Correlation Coefficient(ICC)for inter-rater reliability. The lowest score OSCE student also got the lowest score from direct observation through year. The highest score OSCE student, defined as the smartest, was not the first rank from direct observation. Inter-rater reliability was range from 0.48 to 0.90; seventy percent of the stations had coefficients more than 0.7, overall inter-rater correlation was 0.8(p<0.05) The correlation of fifteen question scores was low, about half were less than 0.3 and the other half less than 0.1. The OSCE had satisfactory validity and inter-rater agreement but weighting each question by the number of concepts or reduced number of questions may be needed. Although possible pretending by the smart students was somewhat of a limitation, the OSCE was suitable to evaluate their ethics at least during school

home |join IAMSE |renew your membership | contact us

Bringing Science Into the Heart of Medical Practice