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Evaluation & the Health Professions
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Toward Validation of an Assessment Tool Designed to Measure Medical Students' Integration of Scientific Knowledge and Clinical Communication Skills

Thomas Hugh Feeley

State University of New York at Buffalo

Andrea T. Manyon

State University of New York at Buffalo

Timothy J. Servoss

State University of New York at Buffalo

Karen J. Panzarella

State University of New York at Buffalo

This article reports on a study undertaken to validate an assessment tool of medical students' ability to integrate clinical skills and scientific knowledge within the patient encounter. One hundred forty first-year medical students at the State University of New York at Buffalo examined a standardized patient with either acute lower back pain or gastroesophageal reflux disease (GERD). Forty-eight clinical exams were evaluated by two raters to test the interrater reliability of the instrument. Results were promising but mixed. The tool displayed high internal consistency. However, results from a generalizability study indicated that a significant amount of variance in student scores was due to faculty raters. It is recommended that future studies undertake a training workshop for raters and examine different cases in an effort to expand the flexibility of the instrument.

Key Words: assessment • medical students • standardized patients • integration • communication skills

Evaluation & the Health Professions, Vol. 26, No. 2, 222-233 (2003)
DOI: 10.1177/0163278703026002006


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