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Evaluation & the Health Professions
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Scoring Patient Management Problems

External Validation of Expert Consensus

Steven A. Mazzuca

Stuart J. Cohen

Indiana University, School of Medicine

This study, determined the extent to which medicalf(culth agreed when rating options in two written patient management problems in diabetes mellitus. Another purpose vvas to determine whether option weights (used fir scoring) based on the consensus ratings offacult v actual/v predict the choices of well-qualified phy sicians. Experts showed better-than-chance agreement hut with considerable variation from one part of aproblem to another (3 /%C to 73%). Nevertheless, consensus ratings were very accurate predictors of the decisions of endocrinology fi/lows ('correlations from .60 to .97). When scoring weights are assigned to options in patient managetnent problems, consensus (average) ratings of ex'perts are like/v to demonstrate high concurrent validlitYv for vwell-qualified clinicians.

Evaluation & the Health Professions, Vol. 5, No. 2, 210-217 (1982)
DOI: 10.1177/016327878200500206


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J. Norcini
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Ann Intern Med, November 16, 2004; 141(10): 813 - 814.
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