Background In clinical skills, closely related skills are often combined to form a composite score. For example, history-taking and physical examination scores are typically combined. Interestingly, there is relatively little research to support this practice. Method Multivariate generalizability theory was employed to examine the relationship between history-taking and physical examination scores from the United States Medical Licensing Examination (USMLE) Step 2 Clinical Skills examination. These two proficiencies are currently combined into a data-gathering score. Results The physical examination score is less generalizable than the score for history taking, and there is only a modest to moderate relationship between these two proficiencies. Conclusions A decision about combining physical examination and history-taking proficiencies into one composite score, as well as the weighting of these components, should be driven by the intended use of the score. The choice of weights in combining physical examination and history taking makes a substantial difference in the precision of the resulting score.
机构:
Natl Board Med Examiners, Philadelphia, PA 19104 USANatl Board Med Examiners, Philadelphia, PA 19104 USA
Cuddy, Monica M.
Winward, Marcia L.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Board Med Examiners, Philadelphia, PA 19104 USANatl Board Med Examiners, Philadelphia, PA 19104 USA
Winward, Marcia L.
Johnston, Mary M.
论文数: 0引用数: 0
h-index: 0
机构:
James Madison Univ, Ctr Assessment & Res Studies, Harrisonburg, VA 22807 USA
Amer Board Internal Med, Philadelphia, PA USANatl Board Med Examiners, Philadelphia, PA 19104 USA
Johnston, Mary M.
Lipner, Rebecca S.
论文数: 0引用数: 0
h-index: 0
机构:
Amer Board Internal Med, Evaluat Res & Dev, Philadelphia, PA USANatl Board Med Examiners, Philadelphia, PA 19104 USA
Lipner, Rebecca S.
Clauser, Brian E.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Board Med Examiners, Measurement Consulting Serv, Philadelphia, PA 19104 USANatl Board Med Examiners, Philadelphia, PA 19104 USA
机构:
St Louis Univ, Dept Obstet & Gynecol, St Marys Hlth Ctr, St Louis, MO 63117 USASt Louis Univ, Dept Obstet & Gynecol, St Marys Hlth Ctr, St Louis, MO 63117 USA
Myles, T
Galvez-Myles, R
论文数: 0引用数: 0
h-index: 0
机构:
St Louis Univ, Dept Obstet & Gynecol, St Marys Hlth Ctr, St Louis, MO 63117 USASt Louis Univ, Dept Obstet & Gynecol, St Marys Hlth Ctr, St Louis, MO 63117 USA