© 2003 BMJ Publishing Group & Royal College of Paediatrics and Child Health
Abstracts
Paediatric education
| The first 150 words of the full text of this article appear below. |
P. Ramnarayan, G.C. Roberts, R. Kapoor1, C. Edwards, A. Tomlinson, J. Britto.
Imperial College London at St Marys, 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 (04 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
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.



