Computerized case-based testing: A modern method to assess clinical decision making

Schuwirth, Lambert; Vleuten, Cees van der; Kock, C A De; Peperkamp, A; Donkers, Jeroen

doi:10.3109/01421599609034180

Cited by 17 publications

(11 citation statements)

References 13 publications

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“…Further study is required in this area. Secondly, experts have been found to do better than novices and a number of authors have reported that examinations using KFQs are able to discriminate based on level of training . Thirdly, studies of divergent validity have shown there to be only moderate correlations between examinations using KFQS, MCQs and clinical encounter cards .…”

Section: Discussionmentioning

confidence: 99%

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Key-feature questions for assessment of clinical reasoning: a literature review

2014

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Section: Discussionmentioning

confidence: 99%

“…True/false and ranking items have also been used. Both paper‐and‐pencil and computerised versions have been used …”

Section: Introductionmentioning

confidence: 99%

Key-feature questions for assessment of clinical reasoning: a literature review

2014

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“…In the clerkship's ® nal week students take a computerized test (Schuwirth et al, 1996). Students can log onto one of the available computers whenever they want to take the test.…”

Section: A Surgical Examinationmentioning

confidence: 99%

Clerkship assessment assessed

Vleuten

Scherpbier²,

Dolmans³

et al. 2000

Medical Teacher

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This article reviews consistent research findings concerning the assessment of clinical competence during the clerkship phase of the undergraduate medical training programme on issues of reliability, validity, effect on training programme and learning behaviour, acceptability and costs. Subsequently, research findings on the clinical clerkship as a learning environment are discussed demonstrating that the clinical attachment provides a rather unstructured educational framework. Five fundamental questions (why, what, when, how, who) are addressed to generate general suggestions for improving assessment on the basis of the evidence on assessment and clinical training. Good assessment requires a thoughtful compromise between what is achievable and what is ideal. It is argued that educational effects are eminently important in this compromise, particularly in the unstructured clinical setting. Maximizing educational effects can be achieved in combination with improvements of other measurement qualities of the assessment. Two concrete examples are provided to illustrate the recommended assessment strategies.

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“…A relatively easy and cheap approach which assesses decision-making ability might prove to be a more valuable contribution to this. Computerised case-based testing (CCT) may be such a procedure (Schuwirth et al, 1996(Schuwirth et al, , 1999. It is based on the so-called key-feature concept in which the candidate is presented with large numbers of short, authentically described cases (Bordage, 1987;Page et al, 1990).…”

Section: Introductionmentioning

confidence: 99%

The Role of a Computerised Case-based Testing Procedure in Practice Performance Assessment

Schuwirth

Gorter

Heijde

et al. 2005

Adv Health Sci Educ Theory Pract

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Although CCT was not predictive of SP scores, it was related to working experience. There are good reasons to assume that although SP-scores were more authentic, they were less valid than CCT scores, mainly because they focussed more on thoroughness than on efficiency in data gathering. The results underpin the assumption that for valid performance assessment the most important issue is what information about the candidate is collected and now how authentic the method is.

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Computerized case-based testing: A modern method to assess clinical decision making

Cited by 17 publications

References 13 publications

Key-feature questions for assessment of clinical reasoning: a literature review

Key-feature questions for assessment of clinical reasoning: a literature review

Clerkship assessment assessed

The Role of a Computerised Case-based Testing Procedure in Practice Performance Assessment

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