Abstract
Background Providing midclerkship feedback to identify students at risk for failing is a Liaison Committee on Medical Education standard. Objective criteria for that feedback are critical. The investigators studied the value of a formative midterm (MT) test in identifying students at risk for failing a surgery clerkship. Methods A written midclerkship test, which did not contribute to the final grade, was administered (n = 155). The Bayesian specificity, sensitivity, and predictive values for clerkship failure of low MT score, low global clinical performance rating GCPR, and the combination of low MT and low GCPR were computed. Results Low MT as a predictor of clerkship failure was sensitive (1.0) but not specific (.35). Likewise, low GCPR was sensitive (1.0) but not specific (.31). The combination of low MT and GCPR, however, was both specific (1.0) and sensitive (.87). Conclusions The addition of an MT test to clinical performance ratings can stratify students' risk for clerkship failure.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 260-262 |
| Number of pages | 3 |
| Journal | American Journal of Surgery |
| Volume | 207 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 1 2014 |
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Keywords
- Composite score
- ED-31
- Identification struggling student
- Midclerkship feedback
- Midterm examination
- Validity
ASJC Scopus subject areas
- Surgery
Cite this
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A formative midterm test increases accuracy of identifying students at risk of failing a third year surgery clerkship. / Corcoran, Julia; Halverson, Amy L.; Schindler, Nancy.
In: American Journal of Surgery, Vol. 207, No. 2, 01.02.2014, p. 260-262.Research output: Contribution to journal › Article
TY - JOUR
T1 - A formative midterm test increases accuracy of identifying students at risk of failing a third year surgery clerkship
AU - Corcoran, Julia
AU - Halverson, Amy L.
AU - Schindler, Nancy
PY - 2014/2/1
Y1 - 2014/2/1
N2 - Background Providing midclerkship feedback to identify students at risk for failing is a Liaison Committee on Medical Education standard. Objective criteria for that feedback are critical. The investigators studied the value of a formative midterm (MT) test in identifying students at risk for failing a surgery clerkship. Methods A written midclerkship test, which did not contribute to the final grade, was administered (n = 155). The Bayesian specificity, sensitivity, and predictive values for clerkship failure of low MT score, low global clinical performance rating GCPR, and the combination of low MT and low GCPR were computed. Results Low MT as a predictor of clerkship failure was sensitive (1.0) but not specific (.35). Likewise, low GCPR was sensitive (1.0) but not specific (.31). The combination of low MT and GCPR, however, was both specific (1.0) and sensitive (.87). Conclusions The addition of an MT test to clinical performance ratings can stratify students' risk for clerkship failure.
AB - Background Providing midclerkship feedback to identify students at risk for failing is a Liaison Committee on Medical Education standard. Objective criteria for that feedback are critical. The investigators studied the value of a formative midterm (MT) test in identifying students at risk for failing a surgery clerkship. Methods A written midclerkship test, which did not contribute to the final grade, was administered (n = 155). The Bayesian specificity, sensitivity, and predictive values for clerkship failure of low MT score, low global clinical performance rating GCPR, and the combination of low MT and low GCPR were computed. Results Low MT as a predictor of clerkship failure was sensitive (1.0) but not specific (.35). Likewise, low GCPR was sensitive (1.0) but not specific (.31). The combination of low MT and GCPR, however, was both specific (1.0) and sensitive (.87). Conclusions The addition of an MT test to clinical performance ratings can stratify students' risk for clerkship failure.
KW - Composite score
KW - ED-31
KW - Identification struggling student
KW - Midclerkship feedback
KW - Midterm examination
KW - Validity
UR - http://www.scopus.com/inward/record.url?scp=84893075460&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84893075460&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2013.10.009
DO - 10.1016/j.amjsurg.2013.10.009
M3 - Article
VL - 207
SP - 260
EP - 262
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 2
ER -