Evidence map›Paper›PMID 29644053›Full record

ArticleClinical kidney journal2018

The dialysis orders objective structured clinical examination (OSCE): a formative assessment for nephrology fellows.

Lisa K Prince, Ruth C Campbell, Sam W Gao, Jessica Kendrick, Christopher J Lebrun, Dustin J Little, David L Mahoney, Laura A Maursetter, Robert Nee, Mark Saddler and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical kidney journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 19% 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

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
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

13 authors at 8 institutions in 1 country.

Lisa K PrinceNephrology Division, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Ruth C CampbellNephrology Division, Medical University of South Carolina, Charleston, SC, USA.
Sam W GaoNephrology Division, Portsmouth Naval Medical Center, Portsmouth, VA, USA.
Jessica KendrickDepartment of Renal Diseases and Hypertension, University of Colorado, Denver, CO, USA.
Christopher J LebrunDepartment of Internal Medicine, Baptist Memorial Hospital, Golden Triangle, Columbus, MS, USA.
Dustin J LittleNephrology Division, Walter Reed National Military Medical Center, Bethesda, MD, USA.
David L MahoneyNephrology Associates, Fairfax, VA, USA.
Laura A MaursetterNephrology Division, University of Wisconsin, Madison, WI, USA.
Robert NeeNephrology Division, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Mark SaddlerNephrology Associates, Mercy Regional Medical Center, Durango, CO, USA.
Maura A WatsonNephrology Division, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Christina M YuanNephrology Division, Walter Reed National Military Medical Center, Bethesda, MD, USA.ORCID 0000-0002-4805-6359
Nephrology Education Research & Development Consortium
Walter Reed National Military Medical Center · USBaptist Memorial Hospital · USFairfax Neonatal Associates · USMedical University of South Carolina · USMercy Regional Medical Center · USNaval Medical Center Portsmouth · USUniversity of Colorado Denver · USUniversity of Wisconsin–Madison · US

Funding

Bicarbonate Administration In CKDR01HL132868 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI KENDRICK, JESSICA B · 2017 to 2020
$1.7M
NHLBI NIH HHS R01 HL132868
6 · The paper itself

Abstract

backgroundFew quantitative nephrology-specific simulations assess fellow competency. We describe the development and initial validation of a formative objective structured clinical examination (OSCE) assessing fellow competence in ordering acute dialysis.

methodsThe three test scenarios were acute continuous renal replacement therapy, chronic dialysis initiation in moderate uremia and acute dialysis in end-stage renal disease-associated hyperkalemia. The test committee included five academic nephrologists and four clinically practicing nephrologists outside of academia. There were 49 test items (58 points). A passing score was 46/58 points. No item had median relevance less than 'important'. The content validity index was 0.91. Ninety-five percent of positive-point items were easy-medium difficulty. Preliminary validation was by 10 board-certified volunteers, not test committee members, a median of 3.5 years from graduation. The mean score was 49 [95% confidence interval (CI) 46-51], κ = 0.68 (95% CI 0.59-0.77), Cronbach's α = 0.84.

resultsWe subsequently administered the test to 25 fellows. The mean score was 44 (95% CI 43-45); 36% passed the test. Fellows scored significantly less than validators (P < 0.001). Of evidence-based questions, 72% were answered correctly by validators and 54% by fellows (P = 0.018). Fellows and validators scored least well on the acute hyperkalemia question. In self-assessing proficiency, 71% of fellows surveyed agreed or strongly agreed that the OSCE was useful.

conclusionsThe OSCE may be used to formatively assess fellow proficiency in three common areas of acute dialysis practice. Further validation studies are in progress.

Indexed as

dialysiseducationfellowshipnephrologyobjective structured clinical examinationtesting

Identifiers

PMID29644053
PMCPMC5887504
OpenAlexW2795100850

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.