Evidence map›Paper›PMID 42756581›Full record

ArticleMedical science educator2026

Comparison of Error Rates in Technical Skills and Contextual Skills in a Large-Scale Peer-Assessed Clinical Skills Examination.

David Alexander Christian Messerer, Oliver Keis, Astrid Horneffer

Abstract read
In one paragraph

Article in Medical science educator, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

David Alexander Christian MessererInstitute of Transfusion Medicine, University Hospital Ulm, Ulm, Germany.ORCID 0000-0002-0834-038X
Oliver KeisOffice of the Dean of Studies, Medical Faculty, Ulm University, Ulm, Germany.
Astrid HornefferOffice of the Dean of Studies, Medical Faculty, Ulm University, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Training of clinical skills often prioritizes technical performance, while contextual skills such as hygienic practice, communication, and documentation receive less systematic attention. In a large-scale peer-assessed examination, third-year medical students completed examination encounters (n = 2,076) using a standardized 20-item binary checklist with predefined allocations to technical and contextual skills. Error rates were low but variable in both categories (technical: 10% (5%; 15%); contextual: 0% (0%; 17%), median with interquartile range). These findings support integrating contextual competence into structured skills education and suggest that brief, checklist-based assessments may reveal actionable deficits in hygiene and documentation that would otherwise remain implicit. Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1007/s40670-026-02764-x.

Indexed as

Medical educationPatient safetyPhysical examinationSkills lab

Identifiers

PMID42756581
PMCPMC13582732

What OpenQuestion holds

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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.