Problems in the Evaluation of Medical Interviewing Skills with Objective Structured Clinical Examinations: How Can Reasonable Objectivity Be Ensured?
- VernacularTitle:客観的臨床能力試験（ＯＳＣＥ）における医療面接評価の問題点 評価の客観性をより高めるために
- Author:
Junko MURAKAMI
;
Hideo TAKENAKA
;
Akira HORIKOSHI
;
Umihiko SAWADA
;
Mitsugu SATO
;
Hiroyuki OHI
;
Masato MURAKAMI
;
Mitsuru YANAI
;
Jin TAKEUCHI
;
Kazunari KUMASAKA
;
Seiji YAZAKI
- Publication Type:Journal Article
- Keywords:
objective structured clinical examination;
objectivity;
medical interviewing skills;
standardized patient
- From:Medical Education
2001;32(4):231-237
- CountryJapan
- Language:Japanese
-
Abstract:
Students' interviewing skills are now commonly evaluated with standardized patient-based assessment methods. Four pairs of instructors at Nihon University School of Medicine used objective structured clinical examinations to evaluate the medical interviewing skills of 122 fifth-year medical students. The results were then analyzed to improve the accuracy of rating with objective structured clinical examinations. Interrater variability was significant among the two pairs of instructors. Variability was greatest when instructors evaluated a student's performance but was minimal when they judged whether a student had carried out a task. The number of standardized patients was 8, with the average score of each standardized patient ranging from 52.5 to 73.3 (full score, 100). These results suggest that the rating process for each item should be further refined and that the standard for evaluation should be clarified.
