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A problem-based criterion-referenced examination of clinical competence
Journal of Medical Education
|September 1, 1978
Summary
A new model for problem-based clinical competence testing enhances medical student exams. This criterion-referenced approach improves reliability and validity, offering a performance profile against intern standards.
Area of Science:
- Medical Education
- Clinical Competence Assessment
Background:
- Traditional medical student examinations often lack sufficient reliability and validity.
- Assessing clinical competence requires methods that reflect real-world patient care scenarios.
Purpose of the Study:
- To develop and evaluate a problem-based, criterion-referenced testing model for clinical competence.
- To enhance the reliability and validity of final year medical student examinations.
- To provide a detailed performance profile of students across defined competence categories.
Main Methods:
- Developed a model for a problem-based criterion-referenced test.
- Utilized patient problem blueprints to guide examination content and test method selection.
- Integrated content and methods into written and practical examination sections.
- Referenced competence levels to those expected of an intern.
Main Results:
- The developed model was found to be feasible for implementation.
- The approach was deemed acceptable by both academic staff and medical students.
- The model aims to provide a comprehensive performance profile.
Conclusions:
- The problem-based, criterion-referenced testing model offers a viable method to improve clinical competence assessment in medical education.
- This approach enhances the evaluation of medical students' readiness for internship.
- Further implementation can refine the assessment of clinical skills and knowledge.
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