Title

Reliability and validity of checklists and global ratings by standardized students, trained raters, and faculty raters in an objective structured teaching environment

UMMS Affiliation

Department of Pediatrics; Meyers Primary Care Institute; Department of Family Medicine and Community Health

Date

6-1-2005

Document Type

Article

Medical Subject Headings

Education, Medical; Educational Measurement; Faculty; Humans; Reproducibility of Results; Research Design; Students, Medical; Teaching

Disciplines

Health Services Research | Medical Education | Primary Care

Abstract

BACKGROUND: Objective structured teaching exercises (OSTEs) are relatively new in medical education, with few studies that have reported reliability and validity.

PURPOSE: To systematically examine the impact of OSTE design decisions, including number of cases, choice of raters, and type of scoring systems used.

METHODS: We examined the impact of number of cases and raters using generalizability theory. We also compared scores from standardized students (SS), faculty raters (FR) and trained graduate student raters (TR), and examined the relation between behavior checklist ratings and global perception scores.

RESULTS: Generalizability (g) coefficients for checklist scores were higher for SSs than TRs. The g estimates based on SSs' global scores were higher than g estimates for FRs. SSs' checklist scores were higher than TRs' checklist scores, and SSs' global evaluations were higher than FRs' and TRs' global scores. TRs' relative to SSs' global perceptions correlated more highly with checklist scores.

CONCLUSIONS: SSs provide more generalizable checklist scores than TRs. Generalizability estimates for global scores from SSs and FRs were comparable. SSs are lenient raters compared to TRs and FRs.

Rights and Permissions

Citation: Teach Learn Med. 2005 Summer;17(3):202-9.