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Remote and onsite scoring of OSCEs using generalisability theory: A three-year cohort study

机译：遥远和现场采用超导理论的欧洲局势评分：三年的队列研究

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Introduction: Onsite scoring is common in traditional OSCEs although there is the potential for an audience effect facilitating or inhibiting performance. We aim to (1) analyze the reliability between onsite scoring (OS) and remote scoring (RS); and (2) explore the factors that affect the scoring in different locations.Methods: A total of 154 students and 84 raters were enrolled in a single-site during 2013–2015. We selected six stations randomly from a 12-station national high-stakes OSCE. We applied generalisability theory for the analysis and investigated the perceptions that affected RS scoring.Results: The internal consistency reliability Cronbach’s α of the checklists was 0.92. The kappa agreement was 0.623 and the G value was 0.93. The major source of variance comes from the students themselves, but some from locations and raters. The three-component analysis including Technical Feasibility, Facilitates Wellbeing, and Observational and Attention Deficits explained 73.886% of the total variance in RS scoring.Conclusions: Our study has demonstrated moderate agreement and good reliability between OS and RS ratings. We validated the factors of facility operation and quality for RS raters. Remote scoring can provide an alternative forum for the raters to overcome the barriers of distance, space, and avoid the audience effect.
机译：简介：现场评分在传统的欧洲人士中很常见，尽管有促进或抑制性能的受众效果存在潜力。我们的目标是（1）分析现场评分（OS）和远程评分（RS）之间的可靠性; （2）探讨影响不同地点的评分的因素。方法：在2013 - 2015年期间共有154名学生和84名评估者。我们从12站国家高赌注欧安组织随机选择了六个站。我们申请了分析的可恒大性理论，并调查了影响RS得分的看法。结果：清单的内部一致性可靠性Cronbach的α为0.92。 Kappa协议为0.623，G值为0.93。主要的差异来源来自学生自己，但有些来自地点和评估者。三分分析包括技术可行性，促进福利，观测和注意力缺陷的衡量标准的73.886％解释了73.886％.Conclusions：我们的研究表明，OS和RS评级之间的可靠性良好。我们验证了RS评估者的设施运营和质量的因素。远程评分可以为评估者提供替代论坛，以克服距离，空间，避免观众效果的障碍。

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  • 来源
    《Medical teacher》 |2019年第5期|共11页
  • 作者

    Te-Chuan Chen; Meng-Chih Lin; Yuan-Cheng Chiang; Lynn Monrouxe; Shao-Ju Chien;

  • 作者单位

    Division of Nephrology Department of Internal Medicine Kaohsiung Chang Gung Memorial Hospital;

    School of Medicine Chang Gung University College of Medicine;

    School of Medicine Chang Gung University College of Medicine;

    Chang Gung Memorial Hospital Linkou Branch Chang Gung Medical Education Research Centre;

    Division of Pediatric Cardiology Department of Pediatrics Kaohsiung Chang Gung Memorial Hospital;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
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