© 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 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
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