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首页> 外文期刊>Patient education and counseling >Assessment of patient communication skills during OSCE: examining effectiveness of a training program in minimizing inter-grader variability.
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Assessment of patient communication skills during OSCE: examining effectiveness of a training program in minimizing inter-grader variability.

机译：评估OSCE期间的患者沟通技巧：检查培训计划在最大程度降低年级间差异的有效性。

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OBJECTIVE: To assess effectiveness of a training program in reducing inter-grader variability in grading communication skills during an objective structured clinical exam (OSCE). METHODS: Global communication (GC) skills are assessed by standardized participants (SP) and faculty during each OSCE using a 6 item rubric. Despite criteria delineated in the GC rubric, inter-grader variability was observed. During 2008-2009 academic year, a training program was implemented before each OSCE to achieve more consistent interpretation and grading in GC skills. GC grades between SP and faculty for 2nd and 3rd level student OSCEs during 2008-2009 (post-training) were compared to 2007-2008 (pre-training). Data was analyzed using repeated measures ANOVA. RESULTS: 274 and 281 students participated in OSCEs during 2007-2008 and 2008-2009 academic years, respectively. Training significantly (P<.001) decreased grader variability between SPs and faculty. There was a greater mean difference between faculty vs. SP before training (faculty 14.68, SP 15.87) compared to after training (faculty 13.51, SP 13.78). Mean GC scores for both faculty and SPs also decreased significantly after training. CONCLUSION AND PRACTICE IMPLICATIONS: A training program may be necessary to reduce inter-rater variability in assessment of OSCE communication skills if it is to be truly helpful to student pharmacists learning to counsel patients.
机译：目的：在客观结构化临床考试（OSCE）中，评估一项培训计划在降低评分者之间的差异以改善交流技巧等级方面的有效性。方法：在每个OSCE期间，由标准化参与者（SP）和教师使用6项主题评估全球沟通（GC）技能。尽管GC指标中划定了标准，但仍观察到了等级间的差异。在2008-2009学年期间，每个OSCE之前都实施了一项培训计划，以实现对GC技能的更一致的解释和评分。比较了在2008-2009年（培训后）的2级和3级学生OSCE的SP和教师之间的GC等级与2007-2008年（培训前）的比较。使用重复测量方差分析分析数据。结果：在2007-2008年和2008-2009学年期间，分别有274和281名学生参加了OSCE。显着培训（P <.001）降低了SP与教职员工之间的评分差异。与培训后（教师13.51，SP 13.78）相比，教师在培训之前与SP之间的平均差异更大（教师14.68，SP 15.87）。培训后，教师和SP的平均GC分数也显着降低。结论和实践意义：如果要真正帮助学生药剂师学习为患者提供咨询，可能需要一项培训计划，以减少评估OSCE交流技能时评估者之间的差异。

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