Validity and reliability of the Standardized Orthopedic Assessment Tool (SOAT): a variation of the traditional objective structured clinical examination.

Abstract:

CONTEXT:Health care professions have replaced traditional multiple choice tests or essays with structured and practical, performance-based examinations with the hope of eliminating rater bias and measuring clinical competence. OBJECTIVE:To establish the validity and reliability of the Standardized Orthopedic Assessment Tool (SOAT) as a measure of clinical competence of orthopaedic injury evaluation. DESIGN:Descriptive laboratory study. SETTING:University. PATIENTS OR OTHER PARTICIPANTS:A total of 60 undergraduate students and 11 raters from 3 Canadian universities and 1 standardized patient. INTERVENTION(S):Students were required to complete a 30-minute musculoskeletal evaluation in 1 of 2 randomly assigned mock scenarios involving the knee (second-degree medial collateral ligament sprain) or the shoulder (third-degree supraspinatus muscle strain). MAIN OUTCOME MEASURE(S):We measured interreliability with an intraclass correlation coefficient (ICC) (2,k) and stability of the tool with standard error of measurement and confidence intervals. Agreement was measured using Bland-Altman plots. Concurrent validity was measured using a Pearson product moment correlation coefficient whereby the raters' global rating of a student was matched to the cumulative mean grade score. RESULTS:The ICCs were 0.75 and 0.82 for the shoulder and knee cases, respectively. Bland-Altman plots indicated no systematic bias between raters. In addition, Pearson product moment correlation analysis demonstrated a strong relationship between the overall cumulative mean grade score and the global rating score of the examinees' performances. CONCLUSIONS:This study demonstrated good interrater reliability of the SOAT with a standard error of measurement that indicated very modest stability, strong agreement between raters, and correlation indicative of concurrent validity.

journal_name

J Athl Train

authors

Lafave MR,Katz L

doi

10.4085/1062-6050-49.1.12

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

373-80

issue

3

eissn

1062-6050

issn

1938-162X

journal_volume

49

pub_type

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