Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Reliability of the Amsterdam Clinical Challenge Scale (ACCS): a new instrument to assess the level of difficulty of patient cases in medical education
Autore:
Gercama, AJ; de Haan, M; van der Vleuten, CPM; Gercama, AJ;
Indirizzi:
Vrije Univ Amsterdam, Fac Med, Amsterdam, Netherlands Vrije Univ Amsterdam Amsterdam Netherlands Med, Amsterdam, Netherlands Maastricht Univ, Dept Educ Dev & Res, Maastricht, Netherlands Maastricht Univ Maastricht Netherlands v & Res, Maastricht, Netherlands
Titolo Testata:
MEDICAL EDUCATION
fascicolo: 7, volume: 34, anno: 2000,
pagine: 519 - 524
SICI:
0308-0110(200007)34:7<519:ROTACC>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMMUNICATION-SKILLS;
Keywords:
clinical competence; educational measurement, methods; education, medical; problem-based learning, methods;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Gercama, AJ Free Univ Amsterdam, Fac Geneeskunde HVSG, Boechorststr 7, NL-1081 BT Amsterdam, Netherlands Free Univ Amsterdam Boechorststr 7 Amsterdam Netherlands NL-1081 BT
Citazione:
A.J. Gercama et al., "Reliability of the Amsterdam Clinical Challenge Scale (ACCS): a new instrument to assess the level of difficulty of patient cases in medical education", MED EDUC, 34(7), 2000, pp. 519-524

Abstract

Introduction In problem-based medical curricula, consideration should be given to the level of difficulty of patient cases used for training and assessment. The Amsterdam Clinical Challenge Scale (ACCS) has been developed toassess the degree of difficulty of patient cases in a systematic and reproducible manner. To determine the reliability of the instrument two researchquestions were addressed: (1) How many judges are required, on the basis of the total score of the ACCS, to obtain a reliable estimate of the difficulty of a single case? (2) How many cases and/or how many judges are needed to reach an acceptable level of reliability of the total score of the ACCS? Method Four judges scored 36 patient scripts reflecting a wide range of patient problems encountered in general practice. Each script was scored fourtimes. In the reliability analysis, the generalizability theory was applied. Results The results show that the judges did, indeed, use the whole range of difficulty ratings. When the ACCS is applied to a single case, eight or more judges are needed to reach an acceptable level of reliability. When more cases are involved, fewer judges are needed; for 10 or more cases one judge will be sufficient. Conclusions Given the typical length, for example of an objective structured clinical examination, the ACCS makes it possible to provide a reliable estimate of the level of difficulty of such a test with only a limited number of judges.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 02:33:29