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A diagnostic fourth-year performance assessment.

P L Stillman¹, M B Regan, D B Swanson

¹University of Massachusetts Medical Center, Worcester, MA 01655.

Archives of Internal Medicine

|November 1, 1987

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A new performance-based test battery effectively assesses medical student clinical skills, providing a detailed profile of strengths and weaknesses. This reproducible assessment offers valuable insights for faculty and may inform future physician licensure evaluations.

Area of Science:

Medical Education
Clinical Skills Assessment
Healthcare Professional Training

Background:

Medical school graduation requires robust assessment of clinical competence.
Existing assessment methods may not fully capture essential physician skills.
Standardized testing is crucial for evaluating medical trainees.

Purpose of the Study:

To develop a standardized, performance-based test battery for assessing clinical competence in medical students.
To create a diagnostic score profile identifying student strengths and weaknesses.
To enhance the accuracy and breadth of medical student assessment.

Main Methods:

Utilized a blended approach of standardized patient-based scenarios and written examinations.
Designed the battery to yield a skill-by-skill score profile.

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Implemented the test battery over a one- to two-day period.

Main Results:

Achieved a stable and reproducible assessment of clinical skills.
The test battery successfully generated a diagnostic score profile for students.
Provided faculty with unique information on student clinical competence.

Conclusions:

Performance-based testing can reliably assess medical student clinical skills.
The developed battery improves the comprehensiveness of student evaluations.
This approach has potential applications in physician licensure and ensuring graduate competence.