Validating Measures of Third Year Medical Students’ Use of Interpreters by Standardized Patients and Faculty Observers
| Autor: | Sylvia Bereknyei, Patricia Lenahan, Desiree Lie, Charlotte Fesko, Susan Ahearn, John R. Boker |
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| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Validation study
Faculty Medical Validation test interpreter use assessment Foreign language education MEDLINE Test validity computer.software_genre 01 natural sciences Undergraduate methods 03 medical and health sciences 0302 clinical medicine Internal Medicine Medicine Humans 030212 general & internal medicine 0101 mathematics Cultural Competency validation Medical education evaluation of skills Physician-Patient Relations business.industry 4. Education 010102 general mathematics Communication Barriers Reproducibility of Results Translating Patient Simulation Limited English proficiency Original Article Educational Measurement business computer Interpreter Education Medical Undergraduate |
| Zdroj: | Journal of General Internal Medicine |
| ISSN: | 1525-1497 0884-8734 |
| Popis: | Background Increasing prevalence of limited English proficiency patient encounters demands effective use of interpreters. Validated measures for this skill are needed. Objective We describe the process of creating and validating two new measures for rating student skills for interpreter use. Setting Encounters using standardized patients (SPs) and interpreters within a clinical practice examination (CPX) at one medical school. Measurements Students were assessed by SPs using the interpreter impact rating scale (IIRS) and the physician patient interaction (PPI) scale. A subset of 23 encounters was assessed by 4 faculty raters using the faculty observer rating scale (FORS). Internal consistency reliability was assessed by Cronbach’s coefficient alpha (α). Interrater reliability of the FORS was examined by the intraclass correlation coefficient (ICC). The FORS and IIRS were compared and each was correlated with the PPI. Results Cronbach’s α was 0.90 for the 7-item IIRS and 0.88 for the 11-item FORS. ICC among 4 faculty observers had a mean of 0.61 and median of 0.65 (0.20, 0.86). Skill measured by the IIRS did not significantly correlate with FORS but correlated with the PPI. Conclusions We developed two measures with good internal reliability for use by SPs and faculty observers. More research is needed to clarify the reasons for the lack of concordance between these measures and which may be more valid for use as a summative assessment measure. |
| Databáze: | OpenAIRE |
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