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Paediatric education

G143. AN OBJECTIVE, RELIABLE AND VALID SCORE TO MEASURE THE QUALITY OF A CLINICAL ASSESSMENT PLAN
P. Ramnarayan, G.C. Roberts, R. Kapoor¹, C. Edwards, A. Tomlinson, J. Britto.

Imperial College London at St Mary’s, ¹Princess Alexandra Hospital, Harlow

Background: Textual case simulations in examinations act as a proxy to measure real-life clinical decision-making. This concept hinges on objectively measuring the quality of subjects’ decisions. Many discrete measures have been used for this purpose, most of them relatively insensitive.

Aim: To develop and test the reliability and validity of a single objective continuous score to measure clinical assessment plan quality (comprising differential diagnosis, investigations and management items), generated as in real life without cues from multiple choice prompts.

Methods: First, a consultant panel independently produced "gold standard" clinical assessment plans for each case. Using a pre-assigned visual analogue scale (0–4 for diagnoses [judgements] and -2 to +2 for tests and management [actions]), "gold standard" decisions were marked as right hand anchors. From a master list of . . . [Full text of this article]