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The ophthalmic clinical evaluation exercise: reliability determination.

Karl C Golnik1, Linda Goldenhar

  • 1Department of Ophthalmology, University of Cincinnati and The Cincinnati Eye Institute, Cincinnati, Ohio, USA. kgolnik@cinci.rr.com

Ophthalmology
|August 23, 2005
PubMed
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The Ophthalmic Clinical Evaluation Exercise (OCEX) is a reliable and valid tool for assessing ophthalmology resident competency. While most subscales showed acceptable reliability, the examination subscale needs improvement.

Area of Science:

  • Medical Education
  • Ophthalmology Residency Training
  • Assessment Tools

Background:

  • Accreditation Council for Graduate Medical Education (ACGME) mandates reliable tools for core residency competencies.
  • The Ophthalmic Clinical Evaluation Exercise (OCEX) is designed to evaluate ophthalmology residents' patient care skills.
  • Previous studies established face and content validity for the OCEX.

Purpose of the Study:

  • To determine the reliability and construct validity of the OCEX.
  • To assess the OCEX's effectiveness as a tool for evaluating ophthalmology residents.

Main Methods:

  • Ninety-four academic ophthalmology faculty participated.
  • Faculty reviewed standardized resident-patient encounter videos.
  • Participants completed the OCEX using a provided scoring rubric.

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Main Results:

  • The OCEX demonstrated overall reliability (coefficient alpha = 0.81).
  • Subscales for interviewing, interpersonal skills/professionalism, and case presentation showed acceptable reliability (0.65-0.73).
  • The examination subscale exhibited low reliability (alpha = 0.27), while interrater reliability was high for most items (94%).

Conclusions:

  • The OCEX meets ACGME criteria for an acceptable assessment tool due to demonstrated reliability and validity.
  • The OCEX can be effectively used by faculty to assess resident competency.
  • Further refinement of the examination subscale may be warranted.