| Autor: |
Petrusa, Emil R., Hales, Joseph W., Wake, Linda, Harward, Donna H., Hoban, Dennis, Willis, Stephen |
| Předmět: |
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| Zdroj: |
Teaching & Learning in Medicine; Winter2000, Vol. 12 Issue 1, p4-13, 10p, 6 Charts |
| Abstrakt: |
Background: Sequential testing of clinical performance is an effective strategy to reduce cost of testing. Purpose: To evaluate prediction accuracy and financial savings of 4 screening tests of clinical performance. Methods: Screening tests were created from a 13-case examination taken by 434 medical students at 4 schools. Regression analysis determined prediction accuracy for 2 test outcomes. Financial savings were computed from published estimates. Results: Zero false passes were obtained with the "Total Number of Cases Passed" screening test, but it saved only 27%. Sixty-two percent savings with 5% false passes occurred with the "Classification" screening test. The "Scale" and "Mini Test" screening tests would have excused 79% and 67% examinees with 5% and 1% false passes, respectively. Conclusions: Prediction accuracy varies with screening test and outcome measure. Sequential testing of clinical performance can save 40% to 60% with low false pass rates. However, programs need to consider loss of information for curriculum and individual feedback relative to financial savings. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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