An admissions OSCE: the multiple mini-interview
An admissions OSCE: the multiple mini-interview
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DOI：
10.1046/j.1365-2923.2004.01776.x
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发表时间：
2004-03-01
影响因子：
6
通讯作者：
Norman, GR
中科院分区：
文献类型：
--
作者：
Eva, KW;Rosenfeld, J;Norman, GR
虽然健康科学课程继续重视人际交往能力和专业精神等非认知变量，但目前尚不清楚个人面试等招生工具是否能够评估这些领域的能力。假设个人访谈的许多问题可以解释，至少部分解释，因为它是另一种受上下文特异性困扰的测量工具，我们试图开发一种多样本的个人访谈方法。方法麦克马斯特大学（McMaster University）本科医学博士课程的117名申请者参加了一次多重迷你面试（MMI），其中包括10个简短的客观结构化临床检查（OSCE）风格的站点，在这些站点中，他们被要求与面试官讨论与健康有关的问题（例如安慰剂的使用），与标准化的助手互动，而考官则观察他们所表现出的人际交往能力。或者回答传统的面试问题。结果MMI的信度为0.65。此外，情境特异性可能会降低传统面试的有效性，这一假设得到了归因于候选人-站点交互作用的方差成分大于归因于候选人的方差成分的支持。申请人和审查员都对该方案的经验和潜力持积极态度。讨论了开发这种新的招生工具所使用的原则，多重迷你面试固有的灵活性，以及它的可行性和成本效益。
CONTEXT Although health sciences programmes continue to value non-cognitive variables such as interpersonal skills and professionalism, it is not clear that current admissions tools like the personal interview are capable of assessing ability in these domains. Hypothesising that many of the problems with the personal interview might be explained, at least in part, by it being yet another measurement tool that is plagued by context specificity, we have attempted to develop a multiple sample approach to the personal interview.METHODS A group of 117 applicants to the undergraduate MD programme at McMaster University participated in a multiple mini-interview (MMI), consisting of 10 short objective structured clinical examination (OSCE)-style stations, in which they were presented with scenarios that required them to discuss a health-related issue (e.g. the use of placebos) with an interviewer, interact with a standardised confederate while an examiner observed the interpersonal skills displayed, or answer traditional interview questions.RESULTS The reliability of the MMI was observed to be 0.65. Furthermore, the hypothesis that context specificity might reduce the validity of traditional interviews was supported by the finding that the variance component attributable to candidate-station interaction was greater than that attributable to candidate. Both applicants and examiners were positive about the experience and the potential for this protocol.DISCUSSION The principles used in developing this new admissions instrument, the flexibility inherent in the multiple mini-interview, and its feasibility and cost-effectiveness are discussed.