Evidence map›Paper›PMID 28438196›Full record

ArticleBMC medical education2017

Examiner effect on the objective structured clinical exam - a study at five medical schools.

Iris Schleicher, Karsten Leitner, Jana Juenger, Andreas Moeltner, Miriam Ruesseler, Bernd Bender, Jasmina Sterz, Karl-Friedrich Schuettler, Sarah Koenig, Joachim Gerhard Kreuder

Abstract read
In one paragraph

Article in BMC medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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

31 citing papers in PubMed.

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  13. BLU-DAT: a new reliable and accurate arthrometer for measuring anterior knee laxity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  14. Bias in Medical School Clerkship Grading: Is It Time for a Change?Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2023
    Article
  15. Article
  16. Detection of grey zones in inter-rater agreement studies.BMC medical research methodology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Iris SchleicherDepartment of Orthopaedics, Trauma Surgery and Sportsmedicine, Agaplesion ev. Hospital Giessen, Paul-Zipp-Str.171, 35398, Giessen, Germany. iris.schleicher@ortho.med.uni-giessen.de.
Karsten LeitnerDepartment of Orthopaedics, Trauma Surgery and Sportsmedicine, Agaplesion ev. Hospital Giessen, Paul-Zipp-Str.171, 35398, Giessen, Germany.
Jana JuengerDepartment of Psychosomatic and General Internal Medicine, University of Heidelberg, 69120, Heidelberg, Germany.
Andreas MoeltnerCenter of Excellence in Medical Assessment, Faculty of Medicine, University of Heidelberg, im Neuenheimer Feld 346, 69120, Heidelberg, Germany.
Miriam RuesselerDepartment of Trauma, Hand and Reconstructive Surgery, University of Frankfurt, Theodor Stern Kai 7, 60590, Frankfurt am Main, Germany.
Bernd BenderDepartment of Trauma, Hand and Reconstructive Surgery, University of Frankfurt, Theodor Stern Kai 7, 60590, Frankfurt am Main, Germany.
Jasmina SterzDepartment of General Surgery, University of Frankfurt, Theodor Stern Kai, 60590, Frankfurt am Main, Germany.
Karl-Friedrich SchuettlerCenter for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg GmbH, Location Marburg, 35043, Marburg, Germany.
Sarah KoenigDepartment of General Surgery, University of Goettingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Joachim Gerhard KreuderDepartment of Orthopaedics, Trauma Surgery and Sportsmedicine, Agaplesion ev. Hospital Giessen, Paul-Zipp-Str.171, 35398, Giessen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Objective Structured Clinical Examination (OSCE) is increasingly used at medical schools to assess practical competencies. To compare the outcomes of students at different medical schools, we introduced standardized OSCE stations with identical checklists.

methodsWe investigated examiner bias at standardized OSCE stations for knee- and shoulder-joint examinations, which were implemented into the surgical OSCE at five different medical schools. The checklists for the assessment consisted of part A for knowledge and performance of the skill and part B for communication and interaction with the patient. At each medical faculty, one reference examiner also scored independently to the local examiner. The scores from both examiners were compared and analysed for inter-rater reliability and correlation with the level of clinical experience. Possible gender bias was also evaluated.

resultsIn part A of the checklist, local examiners graded students higher compared to the reference examiner; in part B of the checklist, there was no trend to the findings. The inter-rater reliability was weak, and the scoring correlated only weakly with the examiner's level of experience. Female examiners rated generally higher, but male examiners scored significantly higher if the examinee was female.

conclusionsThese findings of examiner effects, even in standardized situations, may influence outcome even when students perform equally well. Examiners need to be made aware of these biases prior to examining.

Indexed as

BiasClinical CompetenceSchools, MedicalChecklistEducational MeasurementEducation, Medical, UndergraduateFaculty, MedicalFemaleHumansMaleReproducibility of ResultsAssessmentBiasMedical studentOSCEPractical skills

Identifiers

PMID28438196
PMCPMC5402669

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.