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Summative Assessment of Interprofessional "Collaborative Practice" Skills in Graduating Medical Students: A Validity
Kristin L Fraser1, Irina Charania2, Kent G Hecker3
1K.L. Fraser is clinical professor, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
This study developed and validated an Objective Structured Clinical Examination (OSCE) station to assess collaborative practice skills in medical students. The tool demonstrated validity, supporting its use for evaluating teamwork competence.
Area of Science:
- Medical Education
- Health Professions Education
Background:
- Assessing collaborative practice is crucial for effective healthcare delivery.
- Developing standardized tools to evaluate teamwork skills in medical students is an ongoing challenge.
Purpose of the Study:
- To describe the development of an Objective Structured Clinical Examination (OSCE) station for assessing collaborative practice competency.
- To evaluate the validity of this OSCE station using Kane's framework.
Main Methods:
- Piloted an OSCE station assessing collaborative practice in 2015-2016, implemented in 2017.
- Utilized Kane's framework for validity argument, examining scoring, generalization, extrapolation, and implications.
- Employed psychometric analysis, structural equation modeling, and confirmatory factor analysis.
Main Results:
- Scoring validity supported by psychometric analysis and rater specificity.
- Generalization validity supported by factor analysis identifying key collaborative practice variables.
- Extrapolation validity shown through correlations with in-training evaluations and residency performance.
- Implications validity supported by consistent pass/fail decisions and associations with collaborative practice aspects.
Conclusions:
- The developed OSCE station is a valid tool for assessing collaborative practice competence in graduating medical students.
- The tool can also evaluate the adequacy of collaborative practice training.
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