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Integrated Assessment of Technical and Communication Skills. Validating an. Vicki R LeBlanc, Roger Kneebone, Diana Tabak Debra Nestel, Helen MacRae, Carol-anne Moulton University of Toronto & Imperial College London. Formal Assessment. Communication skills. Technical skills.
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Integrated Assessment of Technical and Communication Skills Validating an Vicki R LeBlanc, Roger Kneebone, Diana Tabak Debra Nestel, Helen MacRae, Carol-anne Moulton University of Toronto & Imperial College London
Formal Assessment Communication skills Technical skills
Clinical Setting Communication skills Technical skills
Integrated Procedural Performance Instrument (IPPI) Integrated Clinical Scenarios for Education and Evaluation Kneebone et al., 2006
Psychometric Properties Interrater Reliability Internal Consistency Construct ValidityDiscrimination between different levels of trainees
Study Design 4th Year Medical Students N = 16 Volar Cast Irritated Wound Closure Drunk and Angry Urinary Catheterization Uncomfortable PG1Surgery Residents N = 16 Skin Lesion Blind and Afraid
Outcome Measures 2 Blinded Examiners • Checklist scale of technical skills • Global Rating Scale of performance • Communication Scaleoverall, empathy, cohesion, verbal, non-verbal
Interrater Reliability GRS = .76 Checklist = .73 Communication = .61
Internal Consistency 4 stations GRS: α = .75 Communication: α = .81
Internal Consistency Checklist: α = .65 Spearman-Brown prediction formula:6 scenarios: α = .748 scenarios: α = .78
Construct Validity Residents Medical Students %
Communication Skills Residents Medical Students %
Conclusions 6-8 stations Discrimination on technical components Gap in curriculum: communication skills