A GRADED PROBLEM ORIENTED RECORD TO EVALUATE CLINICAL PERFORMANCE

[摘要] In order to see if the problem oriented record could be used to measure a student's facility at data collection, data recording, and clinical problem solving, the problem oriented record (POR) was divided into 14 sections, each of which was graded for structure and completeness. Maximum possible score was 162 points. Seven faculty members and a teaching resident at two institutions graded a single work-up, with a coefficient of variation of 2.8%. In two observed work-ups, there was a high correlation between observed and recorded data. Three clerkship groups of 9 to 16 students each, some of whom were taught by a teaching resident, handed in at different times during the clerkship a total of 66 PORs, with a mean score of 101.75 points (range, 10 to 152 points). It was concluded that the graded POR could objectively measure facility at data collection, data recording, and problem solving, and that students were taught these skills by grading a work-up themselves.

[学科分类] 儿科学