Title: Optimizing the utility of communication OSCE's
Other Titles: Omit station-specific checklists and provide students with narrative feedback.
Authors: Van Nuland, Marc ×
Van Den Noortgate, Wim
van der Vleuten, Cees
Goedhuys, Jo #
Issue Date: Jul-2012
Publisher: Excerpta Medica
Series Title: Patient Education and Counseling vol:88 issue:1 pages:106-112
Abstract: OBJECTIVE: To evaluate how the utility (reliability, validity, acceptability, feasibility, cost and educational impact) of a communication-OSCE was influenced by whether or not station-specific (StSp) checklists were used together with a generic instrument and whether or not narrative feedback was provided to students. METHODS: At ten stations, faculty members rated standardized patient-student interactions using the Common Ground (CG) instrument (at all stations) and StSp-checklists. Both raters and patients provided written feedback. The impact of changing the design on the various utility parameters was assessed: reliability by means of a generalizability study, cost using the Reznick model and the other utility parameters by means of a survey. RESULTS: Use of the generic instrument (CG) proved more reliable (G coefficient=0.67) than using the StSp-checklists (G=0.47) or both (G=0.65) while there was a high correlation between both scale scores (Pearsons'r=0.86). The cost was 6.5% higher when StSp-checklists were used and 5% higher when narrative feedback was provided. CONCLUSION: The utility of a communication OSCE can be enhanced by omitting StSp-checklists and by providing narrative feedback to students. PRACTICE IMPLICATIONS: The same generic assessment scale can be used in all stations of a communication OSCE. Providing feedback to students is promising but it increases the costs
ISSN: 0738-3991
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Academic Center for General Practice
Leuven Statistics Research Centre (LStat)
× corresponding author
# (joint) last author

Files in This Item:
File Description Status SizeFormat
PEC4217 utility CS-OSCE.pdf Published 387KbAdobe PDFView/Open


All items in Lirias are protected by copyright, with all rights reserved.

© Web of science