The management of patient encounter time in a high-stakes assessment using standardized patients.

Abstract:

OBJECTIVES:The purpose of this study was to gather information regarding the appropriateness of the length of time allotted for candidates to complete the history taking and physical examination tasks in a high-stakes standardized patient (SP) assessment. DESIGN:Data were collected on actual time used by 1548 examinees for each of their 10 standardized patient encounters, for which a maximum of 15 minutes was allotted, but not required. SETTING:The Clinical Skills Assessment Center of the Educational Commission for Foreign Medical Graduates (ECFMG), Philadelphia, Pennsylvania, USA. SUBJECTS:Graduates of foreign medical schools who are seeking ECFMG certification. RESULTS:The average time spent with the standardized patient was 13.3 minutes, suggesting that the 15-minute time limit was sufficient. A positive correlation was found between data-gathering scores and patient interview times. Candidates did tend to spend more time with SPs presenting with cases involving complex histories, as well as with cases of chronic conditions. CONCLUSIONS:Candidate time use varied as a function of type of clinical encounter, providing additional evidence of the content validity of the Clinical Skills Assessment.

journal_name

Med Educ

journal_title

Medical education

authors

Chambers KA,Boulet JR,Gary NE

doi

10.1046/j.1365-2923.2000.00752.x

keywords:

subject

Has Abstract

pub_date

2000-10-01 00:00:00

pages

813-7

issue

10

eissn

0308-0110

issn

1365-2923

pii

med752

journal_volume

34

pub_type

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