Assessing Communication Skills of Medical Students in Objective Structured Clinical Examinations (OSCE)--A Systematic Review of Rating Scales.
Assessing Communication Skills of Medical Students in Objective Structured Clinical Examinations (OSCE)--A Systematic Review of Rating Scales.
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DOI：
10.1371/journal.pone.0152717
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Scholl I
中科院分区：
文献类型：
--
作者：
Cömert M;Zill JM;Christalle E;Dirmaier J;Härter M;Scholl I
沟通技能的教学和评估已成为医学教育中必不可少的。客观结构化临床考试（OSCE）被认为是评估医学教育中沟通技能的适当手段。研究表明，有效评估医学生的沟通技能的重要性。然而，业绩评分的有效性从根本上取决于欧安组织使用的评级表的质量。因此，这一系统的审查旨在提供一个概述现有的评级量表，描述他们的基本定义的沟通技巧，确定的心理测量学研究的方法质量和质量的心理测量学特性的评级量表。我们进行了系统的审查，以确定心理测试的评级量表，已应用于欧安组织设置，以评估医学生的沟通技巧。我们的搜索策略包括三个数据库（EMBASE，PsycINFO和PubMed），参考文献跟踪和专家咨询。我们纳入的研究报告的心理测量学特性的沟通技能评估评级量表中使用的OSCE的考官。纳入研究的方法学质量使用基于COnsensus的健康状况测量仪器选择标准（COSMIN）检查表进行评估。使用Terwee及其同事的质量标准对心理测量特性的质量进行了评估。数据的12个研究报告的八个评级量表在OSCE的沟通技能评估。八个评级量表中有五个是根据沟通技能的具体定义明确制定的。研究的方法学质量主要较差。八个量表的心理测量质量主要是中间。我们的研究结果表明，未来的心理测量评估研究，重点是提高方法的质量，以产生心理测量的声音结果的OSCE评估沟通技巧。这一点尤其重要，因为大多数欧安组织评级量表用于总结性评估，从而对医学生的学业成功产生影响。
Teaching and assessment of communication skills have become essential in medical education. The Objective Structured Clinical Examination (OSCE) has been found as an appropriate means to assess communication skills within medical education. Studies have demonstrated the importance of a valid assessment of medical students’ communication skills. Yet, the validity of the performance scores depends fundamentally on the quality of the rating scales used in an OSCE. Thus, this systematic review aimed at providing an overview of existing rating scales, describing their underlying definition of communication skills, determining the methodological quality of psychometric studies and the quality of psychometric properties of the identified rating scales. We conducted a systematic review to identify psychometrically tested rating scales, which have been applied in OSCE settings to assess communication skills of medical students. Our search strategy comprised three databases (EMBASE, PsycINFO, and PubMed), reference tracking and consultation of experts. We included studies that reported psychometric properties of communication skills assessment rating scales used in OSCEs by examiners only. The methodological quality of included studies was assessed using the COnsensus based Standards for the selection of health status Measurement INstruments (COSMIN) checklist. The quality of psychometric properties was evaluated using the quality criteria of Terwee and colleagues. Data of twelve studies reporting on eight rating scales on communication skills assessment in OSCEs were included. Five of eight rating scales were explicitly developed based on a specific definition of communication skills. The methodological quality of studies was mainly poor. The psychometric quality of the eight rating scales was mainly intermediate. Our results reveal that future psychometric evaluation studies focusing on improving the methodological quality are needed in order to yield psychometrically sound results of the OSCEs assessing communication skills. This is especially important given that most OSCE rating scales are used for summative assessment, and thus have an impact on medical students’ academic success.