文章基本信息

标题：Investigating a self-scoring interview simulation for learning and assessment in the medical consultation
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作者：Catherine Bruen ; Clarence Kreiter ; Vincent Wade 等
期刊名称：Advances in Medical Education and Practice
电子版ISSN：1179-7258
出版年度：2017
卷号：8
页码：353-358
DOI：10.2147/AMEP.S128321
语种：English
出版社：Dove Medical Press Ltd
摘要：Experience with simulated patients supports undergraduate learning of medical consultation skills. Adaptive simulations are being introduced into this environment. The authors investigate whether it can underpin valid and reliable assessment by conducting a generalizability analysis using IT data analytics from the interaction of medical students (in psychiatry) with adaptive simulations to explore the feasibility of adaptive simulations for supporting automated learning and assessment. The generalizability (G) study was focused on two clinically relevant variables: clinical decision points and communication skills. While the G study on the communication skills score yielded low levels of true score variance, the results produced by the decision points, indicating clinical decision-making and confirming user knowledge of the process of the Calgary–Cambridge model of consultation, produced reliability levels similar to what might be expected with rater-based scoring. The findings indicate that adaptive simulations have potential as a teaching and assessment tool for medical consultations.
关键词：medical education; simulation technology; competency assessment; generalizability theory