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Related Experiment Videos

The long case.

Val Wass1, Cees van der Vleuten

  • 1School of Primary Care, University of Manchester, Manchester, UK. walerie.wass@man.ac.uk

Medical Education
|October 28, 2004
PubMed
Summary
This summary is machine-generated.

The long case assessment, though facing challenges in reliability, remains valuable for evaluating integrated clinical skills. Increasing the number of cases and examiners can enhance its validity and reliability in medical education.

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Area of Science:

  • Medical Education
  • Clinical Skills Assessment
  • Psychometrics

Background:

  • The long case, a traditional clinical skills assessment, is being supplanted by the objective structured clinical examination (OSCE).
  • This shift occurred despite limited psychometric research on the long case's effectiveness.
  • This review critically examines the long case's strengths and weaknesses as an assessment tool.

Purpose of the Study:

  • To review the current psychometric status of the long case as a clinical skills assessment.
  • To appraise the strengths and weaknesses of the long case in comparison to the OSCE.
  • To identify areas for future research and potential improvements in long case methodology.

Main Methods:

  • Literature review of existing research on the long case and OSCE.

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  • Analysis of psychometric properties including validity and reliability.
  • Discussion of assessment challenges and potential solutions.

    • Main Results:

    • The long case demonstrates high face validity by assessing doctor-patient interactions.
    • Intercase reliability is a significant challenge, particularly when single cases are used.
    • Increasing the number of cases and examiners shows promise for improving reliability.

    Conclusions:

    • Observed long cases can be effective assessment tools with adequate sample sizes of cases and examiners.
    • Further research is needed on intercase and interexaminer variance and consequential validity.
    • Combining long cases with OSCEs and exploring standardized cases warrant further investigation.