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Data Collection III01:05

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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
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Developing an objective structured clinical examination in comprehensive geriatric assessment - A pilot study.

Michael Vassallo1, Joseph Grey2, Anthony Hemsley3

  • 1Department of Older Person Medicine, Royal Bournemouth Hospital, Bournemouth, Devon, UK.

Education for Health (Abingdon, England)
|November 21, 2019
PubMed
Summary
This summary is machine-generated.

Assessing entrustable professional capabilities (EPCs), like comprehensive geriatric assessment (CGA), is crucial for quality medical care. A new CGA assessment station showed positive correlation with overall performance, indicating its value in evaluating physician competency.

Keywords:
Comprehensive geriatric assessmentdevelopmententrustable professional capabilitiesobjective structured clinical examinationsummative assessment

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Area of Science:

  • Medical Education
  • Geriatric Medicine
  • Clinical Assessment

Background:

  • Medical training requires more than just acquiring competencies; it needs practical application for quality care.
  • Entrustable Professional Activities (EPAs) are key to UK medical curricula, representing tasks needing multiple competencies.
  • Assessments for EPAs are vital for ensuring physicians are ready for independent practice.

Purpose of the Study:

  • To develop and evaluate an assessment for Comprehensive Geriatric Assessment (CGA) as an example EPA.
  • To determine the validity and reliability of the CGA assessment station.

Main Methods:

  • A CGA station was integrated into the Diploma in Geriatric Medicine clinical examination.
  • Candidates completed three competency-based stations and one EPA-based CGA station.
  • Statistical analysis examined correlations between CGA scores and overall performance, and inter-rater reliability.

Main Results:

  • 178 candidates participated. The CGA station score positively correlated with overall examination scores (r=0.46, P<0.001).
  • Candidates passing the CGA station were more likely to pass the entire examination.
  • Inter-rater agreement for the CGA station (kappa=0.61) was lower than for other stations.

Conclusions:

  • The CGA assessment station demonstrates discriminatory value, identifying candidates with higher overall ability.
  • This EPA-based assessment is a valuable tool for evaluating physician readiness for geriatric medicine practice.
  • Further refinement may improve inter-rater reliability for EPA assessments.