A formative midterm test increases accuracy of identifying students at risk of failing a third year surgery clerkship

Julia Corcoran*, Amy L. Halverson, Nancy Schindler

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)260-262
Number of pages3
JournalAmerican Journal of Surgery
Volume207
Issue number2
DOIs
StatePublished - Feb 1 2014

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Students
Medical Education
Research Personnel
Sensitivity and Specificity

Keywords

  • Composite score
  • ED-31
  • Identification struggling student
  • Midclerkship feedback
  • Midterm examination
  • Validity

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "A formative midterm test increases accuracy of identifying students at risk of failing a third year surgery clerkship",
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.",
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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 journalArticle

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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.

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