Re-thinking clinical assessment: What can we learn from the medical literature?

Yielder, Jill; Thompson, Andrea; Bueger, Tracy De

doi:10.1016/j.radi.2012.02.005

Cited by 5 publications

(3 citation statements)

References 21 publications

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“…One of the criticisms of OSCEs is that they may negatively impact learning by encouraging students to compartmentalise their learning in a checklist manner, rather than seeing it as a holistic clinical encounter. 5,38 The experiences described by our NPTs suggests that this checklist-approach may actually be reinforced by the NP-OSCE experience, however this claim needs further investigation given our small sample size.…”

Section: Tablementioning

confidence: 95%

“…OSCEs have been used in medical education to assess clinical competence since the 1970s, 1 and are increasingly being used in other health disciplines. 2e4 OSCEs have been identified as a potentially suitable form of assessment in medical imaging 5 that can overcome the shortfalls of traditional assessment methods, 6 and are currently used in some medical imaging programs in both New Zealand 5 and Australia. 7 The published literature on OSCEs in medical imaging education is sparse.…”

Section: Introductionmentioning

confidence: 99%

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Students' perceptions of a near-peer Objective Structured Clinical Examination (OSCE) in medical imaging

Taylor

Quick

2020

Radiography

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Section: Tablementioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Students' perceptions of a near-peer Objective Structured Clinical Examination (OSCE) in medical imaging

Taylor

Quick

2020

Radiography

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“…3,4,6e8 The 12 month postgraduate programme in clinical reporting of CT head examinations at Canterbury Christ Church University (CCCU) consists of clinical department tutorials and clinical experience in reporting, supported by a series of briefing blocks conducted at the university campus every three months throughout the programme. 12 Consultant radiologists with extensive CT experience and proficient CT head reporting radiographers participate in the construction, organisation, lecturing and assessment components of the curriculum. The assessment strategy includes a written clinical case study, a reflective audit of the student's developing competence in CT head reporting and 375 written reports, 250 reviewed and evaluated by the students allocated workplace consultant radiologist mentor.…”

Section: Introductionmentioning

confidence: 99%

CT head reporting by radiographers: Results of an accredited postgraduate programme

2015

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Aim: A preliminary small scale study to assess the diagnostic performance of a limited group of reporting radiographers and consultant radiologists in clinical practice undertaking computer tomography (CT) head interpretation.Method: A multiple reader multiple case (MRMC) alternative free response receiver operating characteristic (AFROC) methodology was applied for this study. Utilising an image bank of 30 CT head examinations, with a 1:1 ratio of normal to abnormal cases. A reference standard was established by double reporting the original reports using two additional independent consultant radiologists with arbitration of discordance by the researcher. Twelve observers from six southern National Health Service (NHS) trusts were invited to participate. The results were compared for accuracy, agreement, sensitivity, specificity. Data analysis used AFROC and area under the curve (AUC) with standard error against the ground truth. Results:The reporting radiographers results demonstrated a mean sensitivity rate of 88.7% (95% CI 82.3 to 95.1%), specificity 95.6% (96% CI 90.1 to 100%) and accuracy of 92.2% (95% CI 89.3 to 95%).The consultant radiologists mean sensitivity rate was 83.35% (95% CI 80 to 86.7%), specificity 90% (95% CI 86.7 to 93.3%) and accuracy of 86.65% (95% CI 83.3 to 90%). Observer performance between the two groups was compared with AFROC, AUC, and standard error analysis (p=0.94, SE 0.202). Conclusion:The findings of this research indicate that within a limited study, a small group of reporting radiographers demonstrated high levels of diagnostic accuracy in the interpretation of CT head examinations that was equivalent to a small selection of consultant radiologists. *Abstract Highlights We assessed reporting radiographers and consultant radiologists in a clinical setting. This was a small scale retrospective multi-reader multi-case multi-site study. AFROC used lesion-based decisions rather than case-based decisions. Within a limited study the observer performance was high in CT head interpretation. Parallels were drawn with published results from other CT head interpretation studies.

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What influences assessors' internalised standards?

Poole

Boland

2016

Radiography

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Re-thinking clinical assessment: What can we learn from the medical literature?

Cited by 5 publications

References 21 publications

Students' perceptions of a near-peer Objective Structured Clinical Examination (OSCE) in medical imaging

Students' perceptions of a near-peer Objective Structured Clinical Examination (OSCE) in medical imaging

CT head reporting by radiographers: Results of an accredited postgraduate programme

What influences assessors' internalised standards?

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