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Updated: Aug 15, 2026
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
A multicenter study to provide evidence of construct validity in a computer-based outcome measure of neurology
Vivian T Obeso1, David Lee Gordon, S Barry Issenberg
1P.O. Box 016960 (D-41), Miami, FL 33101, USA. vobeso@med.miami.edu
Background:
Using computer-based simulation to assess clinical skill-a key competence for medical trainees-enables standardization and exposure to a broad sample of physical findings. The purpose of this study is to provide evidence of construct validity for a computer-based outcome measure of neurology clinical skills.
Method:
A total of 128 medical students and neurology residents at four institutions volunteered to take a 34-question computer-based test designed to measure neurology clinical skills. Subjects were classified into three groups based on level of training: novice, intermediate, and experienced.
Results:
Overall performance increased with level of training. Question difficulty discriminated between groups as predicted. Twenty-six of 34 individual items discriminated between novices and more advanced learners. This test separated learners at different levels of training with a consistency of .92.
Conclusion:
This study provided evidence of construct validity for a computer-based outcome measure of neurology clinical skills.
