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Abstract Details

Medical Student Assessment Across Multiple Clinical Campuses: Are We Consistent?
Research Methodology, 好色先生, 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, FAAN (Mayo Clinic)
PRESENTER 		Dr. Braksick has nothing to disclose.
Gary S. Gronseth, MD, FAAN (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 AAN.
No disclosure on file
No disclosure on file
No disclosure on file
Yunxia Wang, MD, FAAN (KUMC) Dr. Wang has nothing to disclose.