Accepted for/Published in: JMIR Medical Education
Date Submitted: Nov 8, 2023
Open Peer Review Period: Nov 8, 2023 - Nov 22, 2023
Date Accepted: Jan 28, 2024
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Development of a Clinical Simulation Video to Evaluate Multiple Domains of Clinical Competence: A Cross-sectional Study
ABSTRACT
Background:
Medical students in Japan undergo a two-year postgraduate residency program to acquire clinical knowledge and general medical skills. The General Medicine In-Training Examination (GM-ITE) assesses postgraduate residents’ clinical knowledge.
Objective:
This study aimed to evaluate the relationship between GM ITE scores and residents’ diagnostic skills by having them watch a clinical simulation video (CSV) of a medical examination and provide a diagnosis.
Methods:
The participants included 56 postgraduate medical residents who took the GM ITE between 21 January and 28 January 2021, watched the CSV, and then provided a diagnosis. We compared the CSV and GM ITE scores and examined the validity of the simulations using discrimination indices wherein ≥0.20 indicated high discriminatory power and >0.40 indicated a very good measure of the subject’s qualifications.
Results:
A total of six participants (10.7%) provided the correct diagnosis, and all were from the second postgraduate year. All domains indicated high discriminatory power. The (anonymous) follow-up responses indicated that the CSV format was more suitable than the conventional GM ITE for assessing clinical competence.
Conclusions:
The findings indicated that CSV modules simulating real-world clinical examinations were successful in assessing examinees’ clinical competence across multiple domains. Clinical Trial: NA
Citation
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Copyright
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