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Measuring clinical decision making: do key features problems measure higher level cognitive processes?

Gregory M Hurtz1, Roberta N Chinn, Grady C Barnhill

  • 1Department of Psychology, California State University, Sacramento, USA. ghurtz@csus.edu

Evaluation & the Health Professions
|May 19, 2012
PubMed
Summary
This summary is machine-generated.

The key features problem (KFP) format effectively assesses higher-order cognitive processes in allied health professionals. This method is more cognitively complex than traditional multiple-choice questions, supporting its use in standardized testing.

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Area of Science:

  • Medical Education
  • Cognitive Psychology
  • Health Professions Education

Background:

  • Assessing clinical decision-making skills is crucial in allied health professions.
  • Traditional assessment methods may not fully capture complex cognitive processes.
  • The key features problem (KFP) format was developed to elicit targeted decisions in clinical scenarios.

Purpose of the Study:

  • To evaluate if the KFP format can effectively assess higher-order cognitive processes.
  • To compare the cognitive complexity of KFPs with conventional multiple-choice questions.
  • To provide empirical evidence for the efficacy of KFPs in standardized assessments.

Main Methods:

  • Analysis of objective data: item length, difficulty, performance, and response times.
  • Analysis of subjective data: expert ratings of cognitive complexity.
  • Comparison of KFP performance metrics against multiple-choice questions.

Main Results:

  • KFPs were rated as more cognitively complex by experts.
  • Objective data indicated higher cognitive complexity for KFPs compared to multiple-choice questions.
  • The increased cognitive complexity of KFPs correlated with longer response times.

Conclusions:

  • The KFP format demonstrates greater cognitive complexity than traditional multiple-choice questions.
  • KFPs are suitable for assessing higher-order cognitive processes, including clinical decision-making.
  • Results support the integration of KFPs into standardized assessments for allied health professions.