메뉴 건너뛰기




Volumn , Issue , 2010, Pages 246-258

Structured Assessments of Clinical Competence

Author keywords

Borderline group method; Clinical competence assessment decisions made about ability of clinicians and doctors in training; Educational Commission for Foreign Medical Graduates (ECFMG); Hofstee method compromise between relative and absolute standard setting methods; Objective Structure Clinical Examination (OSCE) and Objective Structured Long Case Examination Record (OSLER); Objective Structure Clinical Examinations (OCSEs) widespread in clinical competence assessment; OSLER, 10 key features and OSCE inherent unreliability of classical long and short cases; Simulated patient training; Structured assessments of clinical competence; System based blueprint

Indexed keywords


EID: 84871441176     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1002/9781444320282.ch17     Document Type: Chapter
Times cited : (12)

References (58)
  • 1
    • 0025059683 scopus 로고
    • The assessment of clinical skills/competence/performance
    • Miller G (1990) The assessment of clinical skills/competence/performance. Academic Medicine. 65 (s9): S63-7.
    • (1990) Academic Medicine. , vol.65 , pp. S63-7
    • Miller, G.1
  • 2
    • 1542382262 scopus 로고    scopus 로고
    • London, GMC.
    • General Medical Council (2003) Tomorrow's Doctors. London, GMC.
    • (2003) Tomorrow's Doctors
  • 3
    • 0003883822 scopus 로고    scopus 로고
    • London, GMC.
    • General Medical Council (2001) Good Medical Practice. London, GMC.
    • (2001) Good Medical Practice
  • 5
    • 0036408405 scopus 로고    scopus 로고
    • The relationship between competence and performance: implications for assessing practice performance
    • Rethans JJ, Norcini JJ, Baron-Maldonado M et al. (2002) The relationship between competence and performance: implications for assessing practice performance. Medical Education. 36: 901-9.
    • (2002) Medical Education. , vol.36 , pp. 901-909
    • Rethans, J.J.1    Norcini, J.J.2    Baron-Maldonado, M.3
  • 6
    • 0034916556 scopus 로고    scopus 로고
    • The validity of long cases
    • Norcini JJ (2001) The validity of long cases. Medical Education. 35: 720-1.
    • (2001) Medical Education. , vol.35 , pp. 720-721
    • Norcini, J.J.1
  • 7
    • 84973721117 scopus 로고
    • Performance based assessment: lessons learned from health professions
    • Swanson DB, Norman GR and Linn RL (1995) Performance based assessment: lessons learned from health professions. Education Research. 24 (5): 5-11.
    • (1995) Education Research. , vol.24 , Issue.5 , pp. 5-11
    • Swanson, D.B.1    Norman, G.R.2    Linn, R.L.3
  • 8
    • 0037116806 scopus 로고    scopus 로고
    • The death of the long case?
    • Norcini JJ (2002) The death of the long case? British Medical Journal. 324: 408-9.
    • (2002) British Medical Journal. , vol.324 , pp. 408-409
    • Norcini, J.J.1
  • 9
    • 0034913439 scopus 로고    scopus 로고
    • Does observation add to the validity of the long case? [letter]
    • Norcini JJ (2001) Does observation add to the validity of the long case? [letter]. Medical Education. 35: 1131-3.
    • (2001) Medical Education. , vol.35 , pp. 1131-1133
    • Norcini, J.J.1
  • 10
    • 0016833483 scopus 로고
    • Relative contributions of history taking, physical examination and laboratory investigations to diagnosis and management of medical outpatients
    • Hampton JR, Harrison MJG, Mitchell JRA et al. (1975) Relative contributions of history taking, physical examination and laboratory investigations to diagnosis and management of medical outpatients. British Medical Journal. 2: 486-9.
    • (1975) British Medical Journal. , vol.2 , pp. 486-489
    • Hampton, J.R.1    Harrison, M.J.G.2    Mitchell, J.R.A.3
  • 11
    • 0030978267 scopus 로고    scopus 로고
    • Assessment of clinical competence using the objective structured long examination record (OSLER)
    • Gleeson FA (1997) Assessment of clinical competence using the objective structured long examination record (OSLER). Medical Teacher. 19: 7-14.
    • (1997) Medical Teacher. , vol.19 , pp. 7-14
    • Gleeson, F.A.1
  • 13
    • 0025827267 scopus 로고
    • Reliability and feasibility of measuring medical interviewing skills. The revised Maastricht history and advice checklist
    • van Thiel J, Kraan HF and van der Vleuten CPM (1991) Reliability and feasibility of measuring medical interviewing skills. The revised Maastricht history and advice checklist. Medical Education. 25: 224-9.
    • (1991) Medical Education. , vol.25 , pp. 224-229
    • van Thiel, J.1    Kraan, H.F.2    van der Vleuten, C.P.M.3
  • 14
    • 0035028671 scopus 로고    scopus 로고
    • Standardized or real patients to test clinical competence? The long case revisited
    • Wass V, Jones R and van der Vleuten CPM (2001) Standardized or real patients to test clinical competence? The long case revisited. Medical Education. 35: 321-5.
    • (2001) Medical Education. , vol.35 , pp. 321-325
    • Wass, V.1    Jones, R.2    van der Vleuten, C.P.M.3
  • 15
    • 0027375619 scopus 로고
    • An objective structured clinical examination for the licentiate of the Medical Council of Canada: from research to reality
    • Reznick RK, Blackmore D, Cohen R et al. (1993) An objective structured clinical examination for the licentiate of the Medical Council of Canada: from research to reality. Academic Medicine. 68 (s10): S4-6.
    • (1993) Academic Medicine. , vol.68 , pp. S4-S6
    • Reznick, R.K.1    Blackmore, D.2    Cohen, R.3
  • 16
    • 0029589520 scopus 로고
    • The Objective Structured Clinical Examination. The new gold standard for evaluating postgraduate clinical performance
    • Sloan DA, Donnelly MB, Schwartz RW and Strodel WE (1995) The Objective Structured Clinical Examination. The new gold standard for evaluating postgraduate clinical performance. Annals of Surgery. 222: 735-42.
    • (1995) Annals of Surgery. , vol.222 , pp. 735-742
    • Sloan, D.A.1    Donnelly, M.B.2    Schwartz, R.W.3    Strodel, W.E.4
  • 17
    • 0024994742 scopus 로고
    • Reliability and validity of the objective structured clinical examination in assessing surgical residents
    • Cohen R, Reznick RK, Taylor BR et al. (1990) Reliability and validity of the objective structured clinical examination in assessing surgical residents. American Journal of Surgery. 160: 302-5.
    • (1990) American Journal of Surgery. , vol.160 , pp. 302-305
    • Cohen, R.1    Reznick, R.K.2    Taylor, B.R.3
  • 18
    • 0038081254 scopus 로고    scopus 로고
    • OSCE: the Dundee experience
    • Davis MH (2003) OSCE: the Dundee experience. Medical Teacher. 25: 255-61.
    • (2003) Medical Teacher. , vol.25 , pp. 255-261
    • Davis, M.H.1
  • 19
    • 1542374548 scopus 로고    scopus 로고
    • Techniques for measuring clinical competence: objective structured clinical examinations
    • Newble D (2004) Techniques for measuring clinical competence: objective structured clinical examinations. Medical Education. 38: 199-203.
    • (2004) Medical Education. , vol.38 , pp. 199-203
    • Newble, D.1
  • 20
    • 0018644165 scopus 로고
    • Assessment of clinical competence using an Objective Structured Clinical Examination (OSCE)
    • Harden RM and Gleeson FA (1979) Assessment of clinical competence using an Objective Structured Clinical Examination (OSCE). Medical Education. 13: 41-54.
    • (1979) Medical Education. , vol.13 , pp. 41-54
    • Harden, R.M.1    Gleeson, F.A.2
  • 21
    • 0002061929 scopus 로고    scopus 로고
    • The assessment of professional competence: developments, research and practical implications
    • van der Vleuten CPM (1996) The assessment of professional competence: developments, research and practical implications. Advances in Health Science Education. 1: 41-67.
    • (1996) Advances in Health Science Education. , vol.1 , pp. 41-67
    • van der Vleuten, C.P.M.1
  • 22
    • 0002687525 scopus 로고
    • A measurement framework for performance-based tests
    • Harvey I and Harden RM (eds), Can-Heal, Montreal.
    • Swanson DB (1987) A measurement framework for performance-based tests. In: Harvey I and Harden RM (eds) Further Developments in Assessing Clinical Competence, pp. 13-45. Can-Heal, Montreal.
    • (1987) Further Developments in Assessing Clinical Competence , pp. 13-45
    • Swanson, D.B.1
  • 24
    • 84965846953 scopus 로고
    • The interplay of evidence and consequences in the validation of performance assessments
    • Messick S (1994) The interplay of evidence and consequences in the validation of performance assessments. Educational Researcher. 23 (2): 13-23.
    • (1994) Educational Researcher. , vol.23 , Issue.2 , pp. 13-23
    • Messick, S.1
  • 25
    • 1642408643 scopus 로고    scopus 로고
    • Validity threats: overcoming interference with proposed interpretations of assessment data
    • Downing SM and Haladyna TM (2004) Validity threats: overcoming interference with proposed interpretations of assessment data. Medical Education. 38: 327-33.
    • (2004) Medical Education. , vol.38 , pp. 327-333
    • Downing, S.M.1    Haladyna, T.M.2
  • 26
    • 0041832112 scopus 로고    scopus 로고
    • Validity: on the meaningful interpretation of assessment data
    • Downing SM (2003) Validity: on the meaningful interpretation of assessment data. Medical Education. 37: 830-7.
    • (2003) Medical Education. , vol.37 , pp. 830-837
    • Downing, S.M.1
  • 27
    • 0004009347 scopus 로고    scopus 로고
    • Open University Press and Society for Research into Higher Education, Buckingham.
    • Biggs J (1999) Teaching for Quality Learning at University. Open University Press and Society for Research into Higher Education, Buckingham.
    • (1999) Teaching for Quality Learning at University
    • Biggs, J.1
  • 28
    • 0003236909 scopus 로고    scopus 로고
    • Clinical performance assessments
    • Norman GR, van der Vleuten CPM and Newble DI (eds), Kluwer, Dordrecht, Boston and London.
    • Petrusa E (2002) Clinical performance assessments. In: Norman GR, van der Vleuten CPM and Newble DI (eds) International Handbook of Research in Medical Education, pp. 673-709. Kluwer, Dordrecht, Boston and London.
    • (2002) International Handbook of Research in Medical Education , pp. 673-709
    • Petrusa, E.1
  • 29
    • 0037464754 scopus 로고    scopus 로고
    • ABC of learning and teaching in medicine: applying educational theory in practice
    • Kaufman DM (2003) ABC of learning and teaching in medicine: applying educational theory in practice. British Medical Journal. 326: 213-16.
    • (2003) British Medical Journal. , vol.326 , pp. 213-216
    • Kaufman, D.M.1
  • 30
    • 0020618012 scopus 로고
    • The effect of assessments and examinations on the learning of medical students
    • Newble DI and Jaeger K (1983) The effect of assessments and examinations on the learning of medical students. Medical Education. 17: 165-71.
    • (1983) Medical Education. , vol.17 , pp. 165-171
    • Newble, D.I.1    Jaeger, K.2
  • 31
    • 34547996281 scopus 로고    scopus 로고
    • Developing performance-based medical school assessment programs in resource-limited environments
    • Vargas AL, Boulet JR, Errichetti AM, van Zanten M and Lopez MJ (2007) Developing performance-based medical school assessment programs in resource-limited environments. Medical Teacher. 29 (2-3): 192-8.
    • (2007) Medical Teacher. , vol.29 , Issue.2-3 , pp. 192-198
    • Vargas, A.L.1    Boulet, J.R.2    Errichetti, A.M.3    van Zanten, M.4    Lopez, M.J.5
  • 32
    • 0038757917 scopus 로고    scopus 로고
    • Simulated and standardized patients in OSCEs: achievements and challenges 1992-2003
    • Adamo G (2003) Simulated and standardized patients in OSCEs: achievements and challenges 1992-2003. Medical Teacher. 25: 262-70.
    • (2003) Medical Teacher. , vol.25 , pp. 262-270
    • Adamo, G.1
  • 33
    • 1542374548 scopus 로고    scopus 로고
    • Techniques for measuring clinical competence: objective structured clinical examinations
    • Newble DI (2004) Techniques for measuring clinical competence: objective structured clinical examinations. Medical Education. 38: 199-203.
    • (2004) Medical Education. , vol.38 , pp. 199-203
    • Newble, D.I.1
  • 34
    • 0035726247 scopus 로고    scopus 로고
    • The use of an Objective Structured Clinical Examination (OSCE) for formative and summative assessment in a general practice clinical attachment and its relationship to final medical school examination performance
    • Townsend AH, Mcllvenny S, Miller CJ and Dunn EV (2001) The use of an Objective Structured Clinical Examination (OSCE) for formative and summative assessment in a general practice clinical attachment and its relationship to final medical school examination performance. Medical Education. 35: 841-6.
    • (2001) Medical Education. , vol.35 , pp. 841-846
    • Townsend, A.H.1    Mcllvenny, S.2    Miller, C.J.3    Dunn, E.V.4
  • 35
    • 0038419898 scopus 로고    scopus 로고
    • Validity and the OSCE
    • Hodges B (2003) Validity and the OSCE. Medical Teacher. 25: 250-4.
    • (2003) Medical Teacher. , vol.25 , pp. 250-254
    • Hodges, B.1
  • 36
    • 0029871792 scopus 로고    scopus 로고
    • Evaluating communication skills in the OSCE format: reliability and generalizability
    • Hodges B, Turnbull J, Cohen R et al. (1996) Evaluating communication skills in the OSCE format: reliability and generalizability. Medical Education. 30: 38-43.
    • (1996) Medical Education. , vol.30 , pp. 38-43
    • Hodges, B.1    Turnbull, J.2    Cohen, R.3
  • 37
    • 0036268283 scopus 로고    scopus 로고
    • Between a rock and a hard place: finding a place for the OSCE in medical education
    • Mavis BE and Henry RC (2002) Between a rock and a hard place: finding a place for the OSCE in medical education. Medical Education. 36: 408-9.
    • (2002) Medical Education. , vol.36 , pp. 408-409
    • Mavis, B.E.1    Henry, R.C.2
  • 38
    • 0030053689 scopus 로고    scopus 로고
    • Large-scale high-stakes testing with an OSCE: report from the Medical Council of Canada
    • Reznick RK, Blackmore D, Dauphinee WD et al. (1996) Large-scale high-stakes testing with an OSCE: report from the Medical Council of Canada. Academic Medicine. 71 (s1): S19-S21.
    • (1996) Academic Medicine. , vol.71 , pp. S19-S21
    • Reznick, R.K.1    Blackmore, D.2    Dauphinee, W.D.3
  • 39
    • 0035066246 scopus 로고    scopus 로고
    • The new MRCOG Objective Structured Clinical Examination-the examiners'evaluation
    • Rymer AT (2001) The new MRCOG Objective Structured Clinical Examination-the examiners'evaluation. Journal of Obstetrics and Gynaecology. 21: 103-6.
    • (2001) Journal of Obstetrics and Gynaecology. , vol.21 , pp. 103-106
    • Rymer, A.T.1
  • 41
    • 84948969696 scopus 로고    scopus 로고
    • Recruitment into training for general practice-the winds of change or a breath of fresh air?
    • Lane P (2005) Recruitment into training for general practice-the winds of change or a breath of fresh air? British Medical Journal Career Focus. 331: 153.
    • (2005) British Medical Journal Career Focus. , vol.331 , pp. 153
    • Lane, P.1
  • 42
    • 22144485927 scopus 로고    scopus 로고
    • Scoring standardized patient examinations: lessons learned from the development and administration of the ECFMG Clinical Skills Assessment (CSA)
    • Whelan GP, Boulet JR, McKinley DW et al. (2005) Scoring standardized patient examinations: lessons learned from the development and administration of the ECFMG Clinical Skills Assessment (CSA). Medical Teacher. 27: 200-6.
    • (2005) Medical Teacher. , vol.27 , pp. 200-206
    • Whelan, G.P.1    Boulet, J.R.2    McKinley, D.W.3
  • 43
    • 0031666455 scopus 로고    scopus 로고
    • High-stakes examinations: what do we know about measurement?: using standardized patients to assess the interpersonal skills of physicians
    • Boulet JR, Ben David MF, Ziv A et al. (1998) High-stakes examinations: what do we know about measurement?: using standardized patients to assess the interpersonal skills of physicians. Academic Medicine. 73 (10): S94-6.
    • (1998) Academic Medicine. , vol.73 , Issue.10 , pp. S94-6
    • Boulet, J.R.1    Ben David, M.F.2    Ziv, A.3
  • 44
    • 0034913577 scopus 로고    scopus 로고
    • Validation of the doctor-patient communication component of the Educational Commission for Foreign Medical Graduates Clinical Skills Assessment
    • Whelan GP, McKinley DW, Boulet JR et al. (2001) Validation of the doctor-patient communication component of the Educational Commission for Foreign Medical Graduates Clinical Skills Assessment. Medical Education. 35: 757-61.
    • (2001) Medical Education. , vol.35 , pp. 757-761
    • Whelan, G.P.1    McKinley, D.W.2    Boulet, J.R.3
  • 46
    • 0026793050 scopus 로고
    • How well do internal medicine faculty members evaluate the clinical skills of residents?
    • Noel GL, Herbers JE Jr, Caplow MP et al. (1992) How well do internal medicine faculty members evaluate the clinical skills of residents? Annals of Internal Medicine. 117: 757-65.
    • (1992) Annals of Internal Medicine. , vol.117 , pp. 757-765
    • Noel, G.L.1    Herbers, J.E.2    Caplow, M.P.3
  • 47
    • 0034913188 scopus 로고    scopus 로고
    • Evaluating the spoken English proficiency of graduates of foreign medical schools
    • Boulet JR, van Zanten M, McKinley DW and Gary NE (2001) Evaluating the spoken English proficiency of graduates of foreign medical schools. Medical Education. 35: 767-73.
    • (2001) Medical Education. , vol.35 , pp. 767-773
    • Boulet, J.R.1    van Zanten, M.2    McKinley, D.W.3    Gary, N.E.4
  • 48
    • 0038331942 scopus 로고    scopus 로고
    • Setting standards on educational tests
    • Norcini JJ (2003) Setting standards on educational tests. Medical Education. 37: 464-9.
    • (2003) Medical Education. , vol.37 , pp. 464-469
    • Norcini, J.J.1
  • 51
    • 0002824683 scopus 로고    scopus 로고
    • So much has changed. How the setting of cutscores has evolved since the 1980s
    • Cizek GJ (ed.), Lawrence Erlbaum Associates, Mahwah, NJ.
    • Zeiky MJ (2001) So much has changed. How the setting of cutscores has evolved since the 1980s. In: Cizek GJ (ed.) Setting Performance Standards: concepts, methods, and perspectives, pp. 19-52. Lawrence Erlbaum Associates, Mahwah, NJ.
    • (2001) Setting Performance Standards: concepts, methods, and perspectives , pp. 19-52
    • Zeiky, M.J.1
  • 53
    • 0002635866 scopus 로고
    • Scales, norms and equivalent scores
    • Thorndike RL (ed.), American Council on Education, Washington, DC.
    • Angoff WH (1971) Scales, norms and equivalent scores. In: Thorndike RL (ed.) Educational Measurement, pp. 508-600. American Council on Education, Washington, DC.
    • (1971) Educational Measurement , pp. 508-600
    • Angoff, W.H.1
  • 54
    • 0025939493 scopus 로고
    • Validity and generalizability of global ratings in an objective structured clinical examination
    • Cohen R, Rothman AI, Poldre P and Ross J (1991) Validity and generalizability of global ratings in an objective structured clinical examination. Academic Medicine. 66: 545-8.
    • (1991) Academic Medicine. , vol.66 , pp. 545-548
    • Cohen, R.1    Rothman, A.I.2    Poldre, P.3    Ross, J.4
  • 55
    • 0000296650 scopus 로고    scopus 로고
    • Using the judgements of physician examiners in setting standards for a national multicentre high stakes OSCE
    • Dauphinee WD, Blackmore DE, Smee SM et al. (1997) Using the judgements of physician examiners in setting standards for a national multicentre high stakes OSCE. Advances in Health Science Education. 2: 201-11.
    • (1997) Advances in Health Science Education. , vol.2 , pp. 201-211
    • Dauphinee, W.D.1    Blackmore, D.E.2    Smee, S.M.3
  • 56
    • 0242550966 scopus 로고    scopus 로고
    • Analytic global OSCE ratings are sensitive to level of training
    • Hodges B (2003) Analytic global OSCE ratings are sensitive to level of training. Medical Education. 37: 1012-16.
    • (2003) Medical Education. , vol.37 , pp. 1012-1016
    • Hodges, B.1
  • 57
    • 0034766904 scopus 로고    scopus 로고
    • Setting standards for an objective structured clinical examination: the borderline group method gains ground on Angoff
    • Smee SM and Blackmore DE (2001 Setting standards for an objective structured clinical examination: the borderline group method gains ground on Angoff. Medical Education. 35: 1009-10.
    • (2001) Medical Education. , vol.35 , pp. 1009-1010
    • Smee, S.M.1    Blackmore, D.E.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.