The management of patient encounter time in a high-stakes assessment using standardized patients
Objectives The purpose of this study was to gather information regarding the appropriateness of the length of time allotted for candidates to complete the history taking and physical examination tasks in a high‐stakes standardized patient (SP) assessment. Design Data were collected on actual time us...
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| Veröffentlicht in: | Medical education 2000-10, Vol.34 (10), p.813-817 |
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| creator | Chambers, Kateri A Boulet, John R Gary, Nancy E |
| description | Objectives
The purpose of this study was to gather information regarding the appropriateness of the length of time allotted for candidates to complete the history taking and physical examination tasks in a high‐stakes standardized patient (SP) assessment.
Design
Data were collected on actual time used by 1548 examinees for each of their 10 standardized patient encounters, for which a maximum of 15 minutes was allotted, but not required.
Setting
The Clinical Skills Assessment Center of the Educational Commission for Foreign Medical Graduates (ECFMG), Philadelphia, Pennsylvania, USA.
Subjects
Graduates of foreign medical schools who are seeking ECFMG certification.
Results
The average time spent with the standardized patient was 13·3 minutes, suggesting that the 15‐minute time limit was sufficient. A positive correlation was found between data‐gathering scores and patient interview times. Candidates did tend to spend more time with SPs presenting with cases involving complex histories, as well as with cases of chronic conditions.
Conclusions
Candidate time use varied as a function of type of clinical encounter, providing additional evidence of the content validity of the Clinical Skills Assessment. |
| doi_str_mv | 10.1046/j.1365-2923.2000.00752.x |
| format | Article |
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The purpose of this study was to gather information regarding the appropriateness of the length of time allotted for candidates to complete the history taking and physical examination tasks in a high‐stakes standardized patient (SP) assessment.
Design
Data were collected on actual time used by 1548 examinees for each of their 10 standardized patient encounters, for which a maximum of 15 minutes was allotted, but not required.
Setting
The Clinical Skills Assessment Center of the Educational Commission for Foreign Medical Graduates (ECFMG), Philadelphia, Pennsylvania, USA.
Subjects
Graduates of foreign medical schools who are seeking ECFMG certification.
Results
The average time spent with the standardized patient was 13·3 minutes, suggesting that the 15‐minute time limit was sufficient. A positive correlation was found between data‐gathering scores and patient interview times. Candidates did tend to spend more time with SPs presenting with cases involving complex histories, as well as with cases of chronic conditions.
Conclusions
Candidate time use varied as a function of type of clinical encounter, providing additional evidence of the content validity of the Clinical Skills Assessment.</description><identifier>ISSN: 0308-0110</identifier><identifier>EISSN: 1365-2923</identifier><identifier>DOI: 10.1046/j.1365-2923.2000.00752.x</identifier><identifier>PMID: 11012930</identifier><language>eng</language><publisher>Oxford UK: Blackwell Science Ltd</publisher><subject>Assessment and knowledges control ; Clinical competence ; Clinical Competence - standards ; Curriculum subjects: programmes and methods ; data collection ; Docimology ; Educational Measurement - methods ; Educational sciences ; foreign medical graduates ; Foreign Medical Graduates - standards ; Humans ; Medical and paramedical education ; Patient Simulation ; Pennsylvania ; School work. Docimology. Guidance ; Teaching methods ; Time Factors</subject><ispartof>Medical education, 2000-10, Vol.34 (10), p.813-817</ispartof><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4322-ad6356bb4f9992c852992db181a0b13f782e8beebc94d64729bf0cfbc155b0443</citedby><cites>FETCH-LOGICAL-c4322-ad6356bb4f9992c852992db181a0b13f782e8beebc94d64729bf0cfbc155b0443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-2923.2000.00752.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-2923.2000.00752.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1547392$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11012930$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chambers, Kateri A</creatorcontrib><creatorcontrib>Boulet, John R</creatorcontrib><creatorcontrib>Gary, Nancy E</creatorcontrib><title>The management of patient encounter time in a high-stakes assessment using standardized patients</title><title>Medical education</title><addtitle>Med Educ</addtitle><description>Objectives
The purpose of this study was to gather information regarding the appropriateness of the length of time allotted for candidates to complete the history taking and physical examination tasks in a high‐stakes standardized patient (SP) assessment.
Design
Data were collected on actual time used by 1548 examinees for each of their 10 standardized patient encounters, for which a maximum of 15 minutes was allotted, but not required.
Setting
The Clinical Skills Assessment Center of the Educational Commission for Foreign Medical Graduates (ECFMG), Philadelphia, Pennsylvania, USA.
Subjects
Graduates of foreign medical schools who are seeking ECFMG certification.
Results
The average time spent with the standardized patient was 13·3 minutes, suggesting that the 15‐minute time limit was sufficient. A positive correlation was found between data‐gathering scores and patient interview times. Candidates did tend to spend more time with SPs presenting with cases involving complex histories, as well as with cases of chronic conditions.
Conclusions
Candidate time use varied as a function of type of clinical encounter, providing additional evidence of the content validity of the Clinical Skills Assessment.</description><subject>Assessment and knowledges control</subject><subject>Clinical competence</subject><subject>Clinical Competence - standards</subject><subject>Curriculum subjects: programmes and methods</subject><subject>data collection</subject><subject>Docimology</subject><subject>Educational Measurement - methods</subject><subject>Educational sciences</subject><subject>foreign medical graduates</subject><subject>Foreign Medical Graduates - standards</subject><subject>Humans</subject><subject>Medical and paramedical education</subject><subject>Patient Simulation</subject><subject>Pennsylvania</subject><subject>School work. Docimology. Guidance</subject><subject>Teaching methods</subject><subject>Time Factors</subject><issn>0308-0110</issn><issn>1365-2923</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1v1DAQhi0EosvCX0A-IG4J_srXgQMqpQUWuLTq0djOZNfbxNl6ErHtryfpLu2V04xmnmdGegmhnKWcqfzDNuUyzxJRCZkKxljKWJGJdP-MLB4Xz8mCSVYmjHN2Ql4hbtlMqfIlOZlGXFSSLcjvyw3QzgSzhg7CQPuG7szg5xaC68cwQKSD74D6QA3d-PUmwcHcAFKDCIgP1og-rOk0D7WJtb-H-t8VfE1eNKZFeHOsS3L15ezy9CJZ_Tr_evpplTglhUhMncsst1Y1VVUJV2ZiKrXlJTfMctkUpYDSAlhXqTpXhahsw1xjHc8yy5SSS_L-cHcX-9sRcNCdRwdtawL0I-pCiKrIqxksD6CLPWKERu-i70y805zpOV291XOIeg5Rz-nqh3T1flLfHn-MtoP6STzGOQHvjoBBZ9ommuA8PnGZKuR0dUk-HrA_voW7__6vf5x9vpq6yU8OvscB9o--iTc6L2SR6euf5_rbtfjOV5LpXP4FAJ-lNA</recordid><startdate>200010</startdate><enddate>200010</enddate><creator>Chambers, Kateri A</creator><creator>Boulet, John R</creator><creator>Gary, Nancy E</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200010</creationdate><title>The management of patient encounter time in a high-stakes assessment using standardized patients</title><author>Chambers, Kateri A ; Boulet, John R ; Gary, Nancy E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4322-ad6356bb4f9992c852992db181a0b13f782e8beebc94d64729bf0cfbc155b0443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Assessment and knowledges control</topic><topic>Clinical competence</topic><topic>Clinical Competence - standards</topic><topic>Curriculum subjects: programmes and methods</topic><topic>data collection</topic><topic>Docimology</topic><topic>Educational Measurement - methods</topic><topic>Educational sciences</topic><topic>foreign medical graduates</topic><topic>Foreign Medical Graduates - standards</topic><topic>Humans</topic><topic>Medical and paramedical education</topic><topic>Patient Simulation</topic><topic>Pennsylvania</topic><topic>School work. Docimology. Guidance</topic><topic>Teaching methods</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chambers, Kateri A</creatorcontrib><creatorcontrib>Boulet, John R</creatorcontrib><creatorcontrib>Gary, Nancy E</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Medical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chambers, Kateri A</au><au>Boulet, John R</au><au>Gary, Nancy E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The management of patient encounter time in a high-stakes assessment using standardized patients</atitle><jtitle>Medical education</jtitle><addtitle>Med Educ</addtitle><date>2000-10</date><risdate>2000</risdate><volume>34</volume><issue>10</issue><spage>813</spage><epage>817</epage><pages>813-817</pages><issn>0308-0110</issn><eissn>1365-2923</eissn><abstract>Objectives
The purpose of this study was to gather information regarding the appropriateness of the length of time allotted for candidates to complete the history taking and physical examination tasks in a high‐stakes standardized patient (SP) assessment.
Design
Data were collected on actual time used by 1548 examinees for each of their 10 standardized patient encounters, for which a maximum of 15 minutes was allotted, but not required.
Setting
The Clinical Skills Assessment Center of the Educational Commission for Foreign Medical Graduates (ECFMG), Philadelphia, Pennsylvania, USA.
Subjects
Graduates of foreign medical schools who are seeking ECFMG certification.
Results
The average time spent with the standardized patient was 13·3 minutes, suggesting that the 15‐minute time limit was sufficient. A positive correlation was found between data‐gathering scores and patient interview times. Candidates did tend to spend more time with SPs presenting with cases involving complex histories, as well as with cases of chronic conditions.
Conclusions
Candidate time use varied as a function of type of clinical encounter, providing additional evidence of the content validity of the Clinical Skills Assessment.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Ltd</pub><pmid>11012930</pmid><doi>10.1046/j.1365-2923.2000.00752.x</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0308-0110 |
| ispartof | Medical education, 2000-10, Vol.34 (10), p.813-817 |
| issn | 0308-0110 1365-2923 |
| language | eng |
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| source | MEDLINE; Wiley Journals; Education Source |
| subjects | Assessment and knowledges control Clinical competence Clinical Competence - standards Curriculum subjects: programmes and methods data collection Docimology Educational Measurement - methods Educational sciences foreign medical graduates Foreign Medical Graduates - standards Humans Medical and paramedical education Patient Simulation Pennsylvania School work. Docimology. Guidance Teaching methods Time Factors |
| title | The management of patient encounter time in a high-stakes assessment using standardized patients |
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