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Related Experiment Videos

Performance-based assessment in continuing medical education for general practitioners: construct validity

J J Jansen1, A J Scherpbier, J C Metz

  • 1Centre for Research on Quality in Health Care, Universities of Nijmegen and Limburg, Masstricht, Netherlands.

Medical Education
|September 1, 1996
PubMed
Summary
This summary is machine-generated.

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Performance-based tests effectively assess technical clinical skills in general practitioners, demonstrating construct validity. However, written tests of knowledge poorly predict practical skill competence, highlighting the limitations of knowledge-based assessments.

Area of Science:

  • Medical Education
  • Clinical Skills Assessment

Background:

  • Performance-based assessments are increasingly used in postgraduate medical education.
  • Concerns exist regarding the validity of these assessments, particularly for experienced practitioners.
  • Existing research suggests moderate correlations between written and performance-based clinical competence tests.

Purpose of the Study:

  • To evaluate the construct validity of a performance-based test for technical clinical skills in general practitioners.
  • To explore the correlation between performance on technical skills and knowledge of those skills.

Main Methods:

  • A randomized controlled trial design was employed.
  • Seventy-one general practitioners received 1-day skills training on four technical clinical skills.

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  • Performance was measured using a performance-based test, and knowledge was assessed via a written test before and after training.

    • Main Results:

    • The performance-based test demonstrated a significant training effect for all four clinical skills.
    • The written knowledge test also showed a training effect for three out of four skills.
    • Correlations between written test scores and performance-based test scores were low across all skills.

    Conclusions:

    • The performance-based test demonstrated construct validity for assessing technical clinical skills in general practitioners.
    • Knowledge test scores were found to be poor predictors of competence in specific technical clinical skills.