The passing score in the objective structured clinical examination
The passing score in the objective structured clinical examination
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DOI：
10.1111/j.1365-2923.1996.tb00845.x
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发表时间：
1996-09-01
影响因子：
6
通讯作者：
Thompson, W
中科院分区：
文献类型：
--
作者：
Morrison, H;McNally, H;Thompson, W
客观结构化临床考试（OSCE）现在在医学本科生的评估中占有一席之地。虽然关于欧安组织的可靠性已经写了很多，但很少遇到确定欧安组织合格分数的经验性工作。如果欧安组织要在临床能力的“高风险”测试中发挥作用，重要的是要可靠和合理地设定及格分数。本文阐述了如何使用两个会议修改Angoff标准制定程序来设置14站妇产科欧安组织用于评估最后一年的学生在贝尔法斯特女王大学的及格分数。Angoff方法利用专家法官的专业判断来建立可辩护的标准。四名大学教师，五名非学术顾问和六名初级临床工作人员参加了两届安戈夫标准制定程序。在第一次会议上，法官（单独和沉默）使用他们的专业判断来估计最低能力的最后一年妇产科学生应该在欧安组织的每一个休息元素中取得的分数。在第二次会议上，他们根据欧安组织真实的学生的分数和有组织讨论的机会修改了第一次会议的判决。欧安组织的及格分数与确保其可靠性的统计措施一起报告。
The objective structured clinical examination (OSCE) now has an established place in the assessment of the medical undergraduate. While much has been written about the reliability of the OSCE, empirical work on the determination of the passing score which represents competence on the OSCE is rarely encountered. If the OSCE is to play its role in the 'high stakes' testing of clinical competence, it is important that this passing score be set reliably and defensibly. This article illustrates how a two-session modified Angoff standard-setting procedure is used to set the passing score on a 14 station Obstetrics and Gynaecology OSCE used to assess final year students at The Queen's University of Belfast. The Angoff methodology harnesses the professional judgement of expert judges to establish defensible standards. Four university teachers, five non-academic consultants and six junior clinical staff took part in a two-session Angoff standard-setting procedure. In the first session, the judges (individually and in silence) used their professional judgement to estimate the score which a minimally competent final year obstetrics and gynaecology student should achieve on each rested element of the OSCE. In the second session they revised their session 1 judgements in the light of the OSCE scores of real students and the opportunity for structured discussion. The passing score for the OSCE is reported together with the statistical measures which assure its reliability.