This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (31)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Where Do We Stand and What Might We Expect?

W. Dale Dauphinee, MD, FRCPC

JAMA. 1995;274(9):741-743.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

During the past decade the field of clinical assessment has demonstrated a clear move away from dependence on pencil and paper tests and the multiple-choice format as measures of predicting clinical competence to assessing what physicians do in the real world of practice.¹ This change is reflected in the orientation of numerous conferences on newer approaches to clinical assessment.^2-5

See also p 735.

Among the many reasons for this shift are the increasing feasibility of administering large-scale, multicenter performance tests and the documented improvement in the measurement qualities of performance-based tests. These tests include the Objective Structured Clinical Examination (OSCE), in which candidates proceed through multiple, timed, independent stations designed to assess predetermined clinical skills, and the use of standardized patients (SPs), that is, lay people who are trained to simulate a variety of medical problems in a consistent, reliable, and realistic manner. Another reason for the shift . . . [Full Text PDF of this Article]

Author Affiliations
From the Medical Council of Canada, Ottawa, Ontario.

Footnotes
Reprint requests to the Medical Council of Canada, PO Box/C.P. 8234, Station "T," Ottawa, Ontario, Canada K1G 3H7 (Dr Dauphinee).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?