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The objective structured clinical examination for general practice: design, validity and reliability.

D M Thomson

    The Journal of the Royal College of General Practitioners
    |April 1, 1987
    PubMed
    Summary
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    Clinical examinations enhance general practice assessments for medical students and trainees. While effective for small groups, challenges in multi-center reliability and labor intensity limit their use in national training evaluations.

    Area of Science:

    • Medical Education
    • General Practice Assessment

    Background:

    • Medical education requires robust assessment methods.
    • General practice training necessitates credible evaluations.

    Purpose of the Study:

    • To describe and analyze an experimental clinical examination for general practice.
    • To identify challenges in medical education through student performance differences.

    Main Methods:

    • An experimental clinical examination was designed and administered.
    • Results were analyzed across fourth-year students, fifth-year students, and trainee general practitioners.

    Main Results:

    • Performance variations among student groups highlighted medical education dilemmas.
    • Clinical tests demonstrated reliability for small candidate groups.

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    Conclusions:

    • Clinical examinations can improve the credibility and formative assessment potential of general practice evaluations.
    • Multi-center application faces constraints due to inter-examiner reliability and labor intensity, hindering national-level adoption.