Darling, JC orcid.org/0000-0001-7176-5957, Bardgett, RJM and Homer, MS orcid.org/0000-0002-1161-5938 (2017) Can children acting as simulated patients contribute to scoring of student performance in an OSCE? Medical Teacher, 39 (4). pp. 389-394. ISSN 0142-159X
Abstract
Background: The voice of the child is increasingly recognized as important, as summed up in the Department of Health report “No decision about me, without me”. In medical education, however, the child’s voice is little heard: often in a pediatric OSCE, the examiner assigns a mark for the child. Aim: To explore whether children can contribute meaningfully to summative scoring of student performance. Methods: We studied this in two phases: first we compared child scores (CSs) to examiner predictions of the child scores (EPCS), and other simulated patient (SP) scores within a single exam. Then we looked at CS over a further 4 exams. Results: The Pearson correlation between CS and EPCS was 0.40 (p < 0.001), therefore EPCS accounted for 16% of variation in CS. Across 4 exams, the mean CS was higher than the mean adult SP score: exploratory factor analysis indicated that both may be measuring the same characteristic. Cronbach’s alpha (0.66 to 0.76) did not significantly increase when SP scores (including CS) were removed. Conclusions: Although there was some correlation between CS and EPCS, pediatricians could not accurately predict CS. We conclude that the child’s voice can and should be heard within the OSCE marking process.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2017 Informa UK Limited, trading as Taylor & Francis Group. This is an Accepted Manuscript of an article published by Taylor & Francis in Medical Teacher on 22nd February 2017, available online: http://www.tandfonline.com/10.1080/0142159X.2017.1291926 |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Education, Social Sciences and Law (Leeds) > School of Education (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 06 Feb 2017 14:26 |
Last Modified: | 20 Sep 2018 16:22 |
Published Version: | https://doi.org/10.1080/0142159X.2017.1291926 |
Status: | Published |
Publisher: | Taylor & Francis |
Identification Number: | 10.1080/0142159X.2017.1291926 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:111849 |