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Augmenting Physician Examiner Scoring in Objective Structured Clinical Examinations: A Pilot for Including the Standardized Patient Perspective

Mon, April 11, 7:45 to 9:15am, Convention Center, Floor: Level Two, Exhibit Hall D

Abstract

While SP scoring is common in some contexts, OSCEs in Canada traditionally rely solely on PE scoring. This pilot study explores benefits of adding SP to PE scoring in a high-stakes national OSCE.
SPs were consulted to develop rating scales for Listening, Communication Empathy/Rapport, plus a station global. Forty-three SPs from one site of a national OSCE trained and rated sixty candidates along with PEs. SP scoring was examined using descriptive statistics and correlations. Combinations of SP and PE scoring were assessed using pass-rates, reliability, and decision consistency and accuracy indices.
SP ratings differed somewhat from examiner ratings and we argue assess performance from a different perspective, thereby increasing the available data and overall reliability of scores and pass decisions.

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