Development and validation of a cardiac findings checklist for use with simulator-based assessments of cardiac physical examination competence

Rose Hatala, Ross Scalese, Gary Cole, Maria Bacchus, Barry Kassen, Barry Issenberg

Research output: Contribution to journalArticle

Abstract

Introduction: Objective outcome measures for use with simulator-based assessments of cardiac physical examination competence are lacking. The current study describes the development and validation of an approach to scoring performance using a cardiac findings checklist. Methods: A cardiac findings checklist was developed and implemented for use with a simulator-based assessment of cardiac physical examination competence at a Canadian national specialty examination in internal medicine. Candidate performance as measured using the checklist was compared with global ratings of clinical performance on the cardiac patient simulator and with overall examination performance. Results: Interrater reliability for scoring the checklist ranged from 0.95 for scoring correct findings to 0.72 for scoring incorrect findings. A summary checklist score had a Pearson correlation of 0.60 with overall candidate performance on the simulatorbased station. Conclusion: Use of a cardiac findings checklist provides one objective measure of cardiac physical examination competence that may be used with simulator-based assessments. (Sim Healthcare 4:17-21, 2009)

Original languageEnglish
Pages (from-to)17-21
Number of pages5
JournalSimulation in Healthcare
Volume4
Issue number1
DOIs
StatePublished - Mar 1 2009

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Keywords

  • Cardiac physical examination competence
  • High-stakes assessment
  • Simulation technology

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Epidemiology
  • Education
  • Modeling and Simulation

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