Varkey Prathibha, Gupta Priyanka, Bennet Kevin E
Division of Preventive and Occupational Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Am J Med Qual. 2008 Sep-Oct;23(5):350-5. doi: 10.1177/1062860608317892.
Quality improvement (QI) initiatives require leaders who can facilitate change through negotiation. Although a few education programs teach these skills, there is no published literature on methods to assess competency in negotiation. This study's purpose was to determine the psychometric properties of an Objective Structured Clinical Examination (OSCE) to assess negotiation skills. The OSCE uses an actor trained to respond to the learner in a standardized fashion. The negotiation station was part of an 8-station QI OSCE piloted in the Mayo Clinic Endocrinology and Preventive Medicine fellowship programs. External experts judged the content validity to be excellent. Interrater reliability was outstanding for the global competency assessment (0.80) and moderate for checklist scores (0.53). All participating faculty strongly agreed (33.3%) or agreed (66.7%) that the OSCE station was an authentic assessment tool. Further research is needed to study the predictive validity of such an OSCE and its application to assessing other quality improvement competencies.
质量改进（QI）计划需要能够通过协商推动变革的领导者。尽管有一些教育项目教授这些技能，但尚无关于评估协商能力方法的已发表文献。本研究的目的是确定用于评估协商技能的客观结构化临床考试（OSCE）的心理测量特性。OSCE使用一名经过培训的演员以标准化方式对学习者做出反应。协商站是在梅奥诊所内分泌学和预防医学 fellowship 项目中试行的一个8站式QI OSCE的一部分。外部专家判定内容效度极佳。评分者间信度在整体能力评估方面表现出色（0.80），在检查表评分方面为中等（0.53）。所有参与的教员都强烈同意（33.3%）或同意（66.7%）该OSCE站是一种真实的评估工具。需要进一步研究来探讨这种OSCE的预测效度及其在评估其他质量改进能力方面的应用。
