Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29644053
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Clin+Kidney+J
2018 ; 11
(2
): 149-155
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The dialysis orders objective structured clinical examination (OSCE): a formative
assessment for nephrology fellows
#MMPMID29644053
Prince LK
; Campbell RC
; Gao SW
; Kendrick J
; Lebrun CJ
; Little DJ
; Mahoney DL
; Maursetter LA
; Nee R
; Saddler M
; Watson MA
; Yuan CM
Clin Kidney J
2018[Apr]; 11
(2
): 149-155
PMID29644053
show ga
BACKGROUND: Few quantitative nephrology-specific simulations assess fellow
competency. We describe the development and initial validation of a formative
objective structured clinical examination (OSCE) assessing fellow competence in
ordering acute dialysis. METHODS: The three test scenarios were acute continuous
renal replacement therapy, chronic dialysis initiation in moderate uremia and
acute dialysis in end-stage renal disease-associated hyperkalemia. The test
committee included five academic nephrologists and four clinically practicing
nephrologists outside of academia. There were 49 test items (58 points). A
passing score was 46/58 points. No item had median relevance less than
'important'. The content validity index was 0.91. Ninety-five percent of
positive-point items were easy-medium difficulty. Preliminary validation was by
10 board-certified volunteers, not test committee members, a median of 3.5?years
from graduation. The mean score was 49 [95% confidence interval (CI) 46-51],
??=?0.68 (95% CI 0.59-0.77), Cronbach's ??=?0.84. RESULTS: We subsequently
administered the test to 25 fellows. The mean score was 44 (95% CI 43-45); 36%
passed the test. Fellows scored significantly less than validators (P?0.001).
Of evidence-based questions, 72% were answered correctly by validators and 54% by
fellows (P?=?0.018). Fellows and validators scored least well on the acute
hyperkalemia question. In self-assessing proficiency, 71% of fellows surveyed
agreed or strongly agreed that the OSCE was useful. CONCLUSIONS: The OSCE may be
used to formatively assess fellow proficiency in three common areas of acute
dialysis practice. Further validation studies are in progress.