Evidence map›Paper›PMID 26432851›Full record

ArticleNeurology2015

Neurology objective structured clinical examination reliability using generalizability theory.

Angela D Blood, Yoon Soo Park, Rimas V Lukas, James R Brorson

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 28 citations in OpenAlex.

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  8. What NEXT for Neurology Education and Assessment?Annals of Indian Academy of Neurology
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Angela D BloodFrom Rush University Medical College (A.D.B.); Department of Medical Education (Y.S.P.), The University of Illinois at Chicago; and Department of Neurology (R.V.L., J.R.B.), The University of Chicago, IL. angela_blood@rush.edu.
Yoon Soo ParkFrom Rush University Medical College (A.D.B.); Department of Medical Education (Y.S.P.), The University of Illinois at Chicago; and Department of Neurology (R.V.L., J.R.B.), The University of Chicago, IL.
Rimas V LukasFrom Rush University Medical College (A.D.B.); Department of Medical Education (Y.S.P.), The University of Illinois at Chicago; and Department of Neurology (R.V.L., J.R.B.), The University of Chicago, IL.
James R BrorsonFrom Rush University Medical College (A.D.B.); Department of Medical Education (Y.S.P.), The University of Illinois at Chicago; and Department of Neurology (R.V.L., J.R.B.), The University of Chicago, IL.
Rush University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study examines factors affecting reliability, or consistency of assessment scores, from an objective structured clinical examination (OSCE) in neurology through generalizability theory (G theory).

methodsData include assessments from a multistation OSCE taken by 194 medical students at the completion of a neurology clerkship. Facets evaluated in this study include cases, domains, and items. Domains refer to areas of skill (or constructs) that the OSCE measures. G theory is used to estimate variance components associated with each facet, derive reliability, and project the number of cases required to obtain a reliable (consistent, precise) score.

resultsReliability using G theory is moderate (Φ coefficient = 0.61, G coefficient = 0.64). Performance is similar across cases but differs by the particular domain, such that the majority of variance is attributed to the domain. Projections in reliability estimates reveal that students need to participate in 3 OSCE cases in order to increase reliability beyond the 0.70 threshold.

conclusionsThis novel use of G theory in evaluating an OSCE in neurology provides meaningful measurement characteristics of the assessment. Differing from prior work in other medical specialties, the cases students were randomly assigned did not influence their OSCE score; rather, scores varied in expected fashion by domain assessed.

Indexed as

Education, Medical, UndergraduatePatient SimulationStatistics as TopicClinical ClerkshipClinical CompetenceHumansNeurologic ExaminationNeurologyReproducibility of ResultsStudents, Medical

Identifiers

PMID26432851
PMCPMC4642144
OpenAlexW2178855071

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.