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Entrustment versus performance scale in high-stakes OSCEs: Rater insights and psychometric properties.
- Source :
-
Medical teacher [Med Teach] 2023 Aug; Vol. 45 (8), pp. 885-892. Date of Electronic Publication: 2023 Mar 15. - Publication Year :
- 2023
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Abstract
- Background: Although entrustment scales are increasingly applied in workplace-based assessments, their role in OSCEs remains unclear. We investigated raters' perceptions using an entrustment scale and psychometric analyses.<br />Method: A mixed-methods design was used. OSCE raters' ( n = 162) perceptions were explored via questionnaire and four focus groups ( n = 14). Psychometric OSCE properties were analyzed statistically.<br />Results: Raters ( n = 53, response rate = 41%) considered the entrustment scale comprehensible (89%) and applicable (60%). A total of 43% preferred the entrustment scale, 21% preferred the global performance scale, and 36% were undecided. Raters' written comments indicated that while they appreciated the authenticity of entrustment levels, they considered them subjective. The focus groups highlighted three main themes: (1) recollections of the clinical workplace as a cognitive reference triggered by entrustment scales; (2) factors influencing entrustment decisions; and (3) cognitive load is reduced at the perceived cost of objectivity. Psychometric analyses ( n = 480 students) revealed improvements in some OSCE metrics when entrustment and global performance scales were combined.<br />Conclusion: Entrustment scales are beneficial for high-stakes OSCEs and have greater clinical relevance from the raters' perspective. Our findings support the use of entrustment and global performance scales in combination.
Details
- Language :
- English
- ISSN :
- 1466-187X
- Volume :
- 45
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Medical teacher
- Publication Type :
- Academic Journal
- Accession number :
- 36919450
- Full Text :
- https://doi.org/10.1080/0142159X.2023.2187683