Evaluation of the Congruence Between Students' Postencounter Notes and Standardized Patients' Checklists in a Clinical Skills Examination

Abstract

Students' rate of underdocumentation was comparable to experienced clinicians. Although their overdocumentation rate was low overall, it was high for a few students. Evaluation of the congruence between checklists and postencounter notes provides useful information and informs checklist development.

Geriatric assessment in undergraduate geriatric education – a structured interpretation guide improves the quantity and accuracy of the results: a cohort comparison

“…The fact that we also found significant differences regarding the frequency of positive results suggests that the structuring interpretation guide led to a more accurate analysis and documentation of the CGA findings. Substantial rates of under-documentation by medical students were already shown by Szauter et al and Worzala et al for the context of post-encounter notes, possibly due to forgetfulness or inaccurate decisions on what is relevant and what is not [19,20]. In accordance with the results of the present study, Deering et al showed that the use of a standard checklist as a documentation aid results in significantly improved delivery notes for shoulder dystocia [21].…”

Evaluation of the use of patient-focused simulation for student assessment in a surgery clerkship

“…The lower reliability coefficient for Data Gathering scores is consistent with the uncertainty surrounding the quality of the checklists developed for measuring history and physical examination skills in these types of tests, and the difficulty in applying these checklists objectively and reproducibly. 24,[26][27][28][29][30] We found small positive and statistically-significant relationships between performance in the surgery OSCE and faculty ratings of performance in the surgery clerkship. These findings are consistent with an early study based on five years of data that underscored the complementary nature of clerkship ratings and SP clinical skill assessments.…”

“…Communication/ Interpersonal Skills Scores were calculated using Likert scale weights yielding scores on a 0 to 100 scale developed for the medical school's annual comprehensive clinical skills assessment. 24 Other available measures of students' performance included final clinical grades in the surgery clerkship, and five other core clerkships in family medicine, internal medicine, obstetrics/gynecology, pediatrics and psychiatry, based on global ratings assigned by faculty members at the end of each clerkship. The four-point grading scale in descending order includes Honors, Excellent, Good and Fail.…”

Oh, What You Can See: The Role of Observation in Medical Student Education

“…7 Preceptors can then provide effective, timely, and specific feedback on observed skills that can be incorporated into subsequent clinical encounters. With better supervision of learners, both student skills and clinical care improve.…”