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Related Experiment Videos

Measuring the problem-solving ability of students and residents by microcomputer.

D Diserens, M W Schwartz, M Guenin

    Journal of Medical Education
    |June 1, 1986
    PubMed
    Summary

    This study validates a microcomputer-based medical education tool for evaluating students and residents. The system effectively assesses clinical problem-solving skills, though nine simulated cases are recommended for reliable performance measurement.

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    Area of Science:

    • Medical Education
    • Health Professions Education
    • Computer-Assisted Instruction

    Background:

    • Microcomputers offer potential for evaluating medical students and residents.
    • A specific computer program simulates patient cases for performance assessment.

    Purpose of the Study:

    • To investigate the validity and reliability of a microcomputer-based clinical problem-solving evaluation system.
    • To determine the number of simulated cases required for reliable assessment.

    Main Methods:

    • A computer program presenting simulated patient cases was used.
    • Participant performance was scored by comparing it to faculty benchmarks.
    • Statistical analysis examined score differences and correlations with user attributes.

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    Main Results:

    • Significant score differences were observed among faculty, residents, and students on difficult cases.
    • Performance was not linked to general analytic ability or locus of control.
    • A prophecy formula indicated nine cases are needed for reliable evaluation.

    Conclusions:

    • The microcomputer system shows potential for valid and reliable assessment in medical education.
    • No specific user profile emerged as superior for computer-based problem-solving.
    • A curated battery of nine cases is suggested for robust evaluation.