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ERIC Number: EJ855245
Record Type: Journal
Publication Date: 2009-Oct
Pages: 20
Abstractor: As Provided
Reference Count: N/A
ISSN: ISSN-1382-4996
Evaluating the Effectiveness of Rating Instruments for a Communication Skills Assessment of Medical Residents
Iramaneerat, Cherdsak; Myford, Carol M.; Yudkowsky, Rachel; Lowenstein, Tali
Advances in Health Sciences Education, v14 n4 p575-594 Oct 2009
The investigators used evidence based on response processes to evaluate and improve the validity of scores on the Patient-Centered Communication and Interpersonal Skills (CIS) Scale for the assessment of residents' communication competence. The investigators retrospectively analyzed the communication skills ratings of 68 residents at the University of Illinois at Chicago (UIC). Each resident encountered six standardized patients (SPs) portraying six cases. SPs rated the performance of each resident using the CIS Scale--an 18-item rating instrument asking for level of agreement on a 5-category scale. A many-faceted Rasch measurement model was used to determine how effectively each item and scale on the rating instrument performed. The analyses revealed that items were too easy for the residents. The SPs underutilized the lowest rating category, making the scale function as a 4-category rating scale. Some SPs were inconsistent when assigning ratings in the middle categories. The investigators modified the rating instrument based on the findings, creating the Revised UIC Communication and Interpersonal Skills (RUCIS) Scale--a 13-item rating instrument that employs a 4-category behaviorally anchored rating scale for each item. The investigators implemented the RUCIS Scale in a subsequent communication skills OSCE for 85 residents. The analyses revealed that the RUCIS Scale functioned more effectively than the CIS Scale in several respects (e.g., a more uniform distribution of ratings across categories, and better fit of the items to the measurement model). However, SPs still rarely assigned ratings in the lowest rating category of each scale.
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: Higher Education; Postsecondary Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Illinois