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Is the "live patient" interview on the boards necessary?
The American Journal of Psychiatry
|July 1, 1983
Summary
Psychiatry certification exams show differences between audiovisual and live patient interviews. Most candidates scored higher on audiovisual exams, suggesting distinct skills are assessed.
Area of Science:
- Medical Education
- Psychiatry
Background:
- The American Board of Psychiatry certification examinations are crucial for assessing psychiatrist competency.
- Evaluating examination formats is essential for ensuring fair and accurate assessment.
Purpose of the Study:
- To investigate score concordance between audiovisual and live patient interview formats in psychiatry certification exams.
- To identify potential differences in skills assessed or examiner judgment between the two formats.
Main Methods:
- Analysis of data from 2,236 psychiatrists undergoing certification examinations over a 2-year period.
- Comparison of scores and pass/fail decisions between audiovisual and live patient interview components.
Main Results:
- 61% of psychiatrists received concordant scores and 52% received identical grades across audiovisual and live patient interviews.
- 80% agreement was observed for pass/fail decisions.
- Two out of three candidates scored higher on the audiovisual section when scores differed.
Conclusions:
- Audiovisual and live patient interview formats may assess different skills or carry different weights in examiner judgment.
- Observed score discrepancies necessitate continued evaluation of these examination formats.
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