Article 2009

Using standardized patients' Marks in scoring postgraduate psychiatry OSCEs

WP
Whelan, Paul James P.
 CL
Church, Laurence
 KK
Kadry, Khaled
Academic Psychiatry
Journal · Vol. 33 · Issue 4 · pp. 319-322
Abstract

Objective: Standardized patients (SPs) do not contribute scores in postgraduate psychiatry objective structured clinical examinations (OSCEs) in the United Kingdom. However, this may change in the near future. The primary aim of this study was to measure the degree of agreement between scores given by examiners and those given by SPs in an OSCE. Methods: The authors measured the degree of agreement in two consecutive postgraduate OSCEs for psychiatric residents on a London training scheme. Results: Fifty-five candidates participated in the two OSCEs. There was a moderate degree of agreement between examiner and SP scores for communication and for the overall mark. However, there was a stronger relationship between the examiner score for communication and the candidates' overall mark. Conclusion: Examiners and SPs scored candidates differently. Therefore, the decision to include SP scores in the marking scheme for postgraduate OSCEs would be a significant development. Copyright © 2009 Academic Psychiatry.

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Index Keywords

adult clinical competence female male Humans Internship and Residency Article interpersonal communication United Kingdom residency education scoring system resident Educational Measurement Education, Medical, Graduate communication clinical examination standardization psychiatry Physician-Patient Relations doctor patient relation Reference Standards
Author Affiliations
Guy's Hospital, London, United Kingdom
Funding & Acknowledgements
No funding information
References 10 References
1 Kowlowitz, Vicki, Implementing the objective structured clinical examination in a traditional medical school, Academic Medicine, 66, 6, pp. 345-347, (1991)
2 Hodges, Brian D., What do psychiatry residents think of an objective structured clinical examination?, Academic Psychiatry, 23, 4, pp. 198-204, (1999)
3 Hodges, Brian D., Validation of an objective structured clinical examination in psychiatry, Academic Medicine, 73, 8, pp. 910-912, (1998)
4 Sauer, Justin, The OSCE has landed: One small step for British psychiatry?, Academic Psychiatry, 29, 3, pp. 310-315, (2005)
5 Whelan, Paul James P., Goodbye OSCE, hello CASC: A mock CASC course and examination, Psychiatric Bulletin, 33, 4, pp. 149-153, (2009)
6 McLay, Robert N., Simulating a full-length psychiatric interview with a complex patient: An OSCE for medical students, Academic Psychiatry, 26, 3, pp. 162-167, (2002)
7 Iramaneerat, Cherdsak, Rater errors in a clinical skills assessment of medical students, Evaluation and the Health Professions, 30, 3, pp. 266-283, (2007)
8 Practical Statistics for Medical Research, (1991)
9 Greco, Michael J., Incorporating patient feedback into vocational training: An interpersonal skills development exercise for GP trainers and registrars, Education for Primary Care, 12, 3, pp. 285-291, (2001)
10 McLaughlin, Kevin J., Can standardized patients replace physicians as OSCE examiners?, BMC Medical Education, 6, (2006)
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