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Related Experiment Videos

Clinical skills problems. A valid instrument for assessing competence?

J W Gilliam1, C J Staropoli

  • 1Medical Center of Delaware, Wilmington.

Physician Assistant (American Academy of Physician Assistants)
|March 10, 1990
PubMed
Summary

The clinical skills problems (CSP) exam for physician assistants is flawed. Research supporting its use has serious issues, questioning its validity and reliability for certification.

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Area of Science:

  • Medical Education
  • Professional Certification

Background:

  • Physician assistants (PAs) must pass the clinical skills problems (CSP) section of the National Certifying Examination.
  • Entry-level physician certification exams lack a comparable section due to concerns about validity and reliability.

Purpose of the Study:

  • To evaluate the validity and reliability of the clinical skills problems (CSP) exam.
  • To assess the research underpinning the implementation of the CSP exam.

Main Methods:

  • Analysis of published studies detailing the development of the CSP exam.
  • Critical review of the methodologies and findings presented in the supporting research.

Main Results:

  • The published research supporting the CSP exam contains significant methodological flaws.
  • These flaws cast doubt on the validity and reliability of the CSP exam as a measure of clinical competence.

Conclusions:

  • The CSP exam is not a valid or reliable indicator of clinical competence for physician assistants.
  • The elimination of the CSP exam is recommended due to its questionable scientific basis.
  • Certification denials based solely on CSP failure may face legal challenges.

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