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Abstract Details

Medical Student Assessment Across Multiple Clinical Campuses: Are We Consistent?
Research Methodology, Â鶹´«Ã½Ó³»­, and History
P2 - Poster Session 2 (5:30 PM-6:30 PM)
4-041

Determine if medical student assessment across medical school campuses is consistent when using a standardized scoring rubric.
Class rank and clerkship grades impact a medical student’s residency application. The variability and inter-rater reliability in assessment across multiple clinical sites within a single University system is unknown.
Attending physicians who participate in assignment of clerkship grades for neurology from three separate clinical campuses observed 10 identical standardized patient encounters completed by third-year medical students.  Scoring was completed using a standardized rubric.  Descriptive analysis and intra-rater comparisons were completed.
Of 50 possible points for the patient encounter, the median score among all medical students and all evaluators was 43 (standard deviation = 5.2). Generally, the assessment by evaluator number 1 was 3.6 points lower than evaluator number 2, and 3.05 points lower than evaluator number 3. Evaluator number one provided a statistically significant lower overall score as compared to evaluators two and three (p=<0.0001), who were consistently similar in their overall medical student assessment.  This difference persisted when the statistical model was corrected for evaluator bias (p=0.0005). 
Medical student evaluation across multiple clinical campus sites, despite observation of identical standardized patient encounters and use of a standardized scoring rubric, was variable.  Use of these methods in medical student assessment may impact overall clerkship scores and class rank, ultimately affecting applications to residency programs.
Authors/Disclosures
Sherri A. Braksick, MD, FÂ鶹´«Ã½Ó³»­ (Mayo Clinic)
PRESENTER 		Dr. Braksick has nothing to disclose.
Gary S. Gronseth, MD, FÂ鶹´«Ã½Ó³»­ (University of Kansas) Dr. Gronseth has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Brain & Life. Dr. Gronseth has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Neurology. Dr. Gronseth has received personal compensation in the range of $0-$499 for serving as a Member/EBM consultant Guideline Development Subcommittee with Â鶹´«Ã½Ó³»­.
No disclosure on file
No disclosure on file
No disclosure on file
Yunxia Wang, MD, FÂ鶹´«Ã½Ó³»­ (KUMC) Dr. Wang has nothing to disclose.