Hatala Rose, Scalese Ross J, Cole Gary, Bacchus Maria, Kassen Barry, Issenberg S Barry
Department of Medicine, University of British Columbia (R.H., B.K.), Vancouver, BC, Canada.
Simul Healthc. 2009 Spring;4(1):17-21. doi: 10.1097/SIH.0b013e318183142b.
Objective outcome measures for use with simulator-based assessments of cardiac physical examination competence are lacking. The current study describes the development and validation of an approach to scoring performance using a cardiac findings checklist.
A cardiac findings checklist was developed and implemented for use with a simulator-based assessment of cardiac physical examination competence at a Canadian national specialty examination in internal medicine. Candidate performance as measured using the checklist was compared with global ratings of clinical performance on the cardiac patient simulator and with overall examination performance.
Interrater reliability for scoring the checklist ranged from 0.95 for scoring correct findings to 0.72 for scoring incorrect findings. A summary checklist score had a Pearson correlation of 0.60 with overall candidate performance on the simulator-based station.
Use of a cardiac findings checklist provides one objective measure of cardiac physical examination competence that may be used with simulator-based assessments.
缺乏用于基于模拟器的心脏体格检查能力评估的客观结果指标。本研究描述了一种使用心脏检查清单对表现进行评分的方法的开发与验证。
制定并实施了一份心脏检查清单，用于加拿大内科专业国家考试中基于模拟器的心脏体格检查能力评估。将使用该清单衡量的考生表现与心脏病人模拟器上的临床表现总体评分以及整体考试表现进行比较。
对清单评分的评分者间信度，正确发现评分的范围为0.95，错误发现评分的范围为0.72。清单总分与基于模拟器的考站中考生的总体表现的Pearson相关系数为0.60。
使用心脏检查清单可提供一种心脏体格检查能力的客观指标，可用于基于模拟器的评估。
