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Related Experiment Video

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Does a Rater's Professional Background Influence Communication Skills Assessment?

Elpida Artemiou, Kent G Hecker, Cindy L Adams

    Journal of Veterinary Medical Education
    |August 29, 2015
    PubMed
    Summary

    Rater background significantly impacts veterinary students' communication skills assessment in Objective Structured Clinical Examinations (OSCEs). Clinical communication specialists awarded lower scores, highlighting the need for rater training and diverse recruitment.

    Keywords:
    OSCEcommunication skillsrater biasrater effectveterinary medicine

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    Area of Science:

    • Veterinary Education
    • Communication Skills Assessment
    • Medical Simulation

    Background:

    • Increasing emphasis on teaching and assessing veterinary students' communication skills.
    • Objective Structured Clinical Examination (OSCE) is the primary assessment tool.
    • Rater variability is a significant challenge in OSCEs.

    Purpose of the Study:

    • To investigate the influence of raters' professional backgrounds on communication skills assessment in veterinary OSCEs.
    • To identify potential sources of variance in OSCE scoring related to rater expertise.

    Main Methods:

    • Twenty-three raters from diverse professional backgrounds (clinical sciences, basic sciences, clinical communication, administration) assessed pre-clinical veterinary students.
    • Two four-station OSCEs were conducted, with raters assessing the same students.
    • Repeated-measures ANOVA was used to analyze score differences across rater groups and time.

    Main Results:

    • Significant differences in OSCE scores were observed among different rater groups.
    • Raters with a clinical communication background assigned significantly lower scores.
    • Clinical sciences raters' feedback indicated influence from students' clinical knowledge, not solely communication checklists.
    • Student performance improved over time, as evidenced by a significant time effect.

    Conclusions:

    • Rater professional background is a critical factor influencing OSCE scoring of communication skills.
    • Clinical communication specialists may use different assessment criteria than other rater groups.
    • Rater recruitment and standardized training are essential for reliable and valid communication skills assessment in veterinary education.