Quality improvement using eOSCE Marking Tool

12
RUBRICS USED TO ASSESS COMMUNICATION SKILLS OF U Improve the Quality of E-OSCEs Using An Online Marking Tool, Instant Psychometric Analysis and Borderline Regression Analysis Thomas Kropmans ; Enda Griffin

Transcript of Quality improvement using eOSCE Marking Tool

RUBRICS USED TO ASSESS COMMUNICATION SKILLS OF UImprove the Quality of E-OSCEs Using An Online Marking Tool, Instant Psychometric Analysis and Borderline Regression Analysis

Thomas Kropmans; Enda Griffin

Lay out of the workshop• 14.50 – 15.05

• 15.20 – 15.30

• 15.30 – 15.45

• 15.45 – 16.20

• Brief introduction who are we?• Interview and introduce your neighbour?• What level of experience e-OSCEs?

• What is OSCE MIS about?• Slides• qpersoft.com/demo19

• Let’s do an assessment• ‘Breaking Bad News’ station 1• ‘BMI’ station 2

• Psychometrics and Borderline Regression

14.50 – 15.20• Interview your neighbour

• Where is he/she from?• What is his/her experience with electronic administered OSCEs• What are his/her expectations of an OSCE Management Information System

• Real time data retrieval• Online psychometrics• Feedback to students• Export of data

Real time solution

Objective Structured Clinical Examinations e.g. OSCE/MMI

Station 4

Station 1 Station 2 Station 3ExaminerPatient Student

Waiting Area – To be Examined

Student

Station 5Station 6Station 7Waiting Area - Examined

Secretary

Desk

StudentStudentStudent

Student

StudentStudentPatient Student Patient Student

Patient StudentPatient StudentPatient StudentPatient Student

Student Examiner Patient Secretary Flow of Students

Examiner Examiner

Examiner Examiner Examiner Examiner

Tablet/PDA

Web Server/Database

Web Server/Central Database

Internal Consistency Stations

Issues with examiners/interviewers

Professional impression examiners

0 1 2 3 40.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

10.0

Method 1 Single borderline score

Method 1: Global score (Fail=0, Borderline=1, Clear Pass=2, Good Pass=3, Excellent=4)

Stat

ion

scor

es

Borderline Regression Analysis

Lay out of the workshop• 15.20 – 15.30

• 15.30 – 15.45

• 15.45 – 16.20

• Let’s do an assessment• ‘Breaking Bad News’ station 1• ‘BMI’ station 2

• qpersoft.com/demo19• exam1 – ottawa16• exam2 – ottawa16• Exam3 – ottawa16• Exam 24 - ottawa16

• Psychometrics and Borderline Regression

Improved pass/fail decisions

19 prestigious universities>200 OSCE/MMIs successfully administeredStudent and Examiner results being analysedCost reduction of 70% Error reduction by 30%

19% MORE NUIG students fail after introducing BRAInternal consistency varies from 0.45 – 0.85Cut-off score varies between stations from 40 – 75%Generalisability Kappa between departments 0.4 – 0.9

Overview & Discussion