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10.1093/ckj/sfx082

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suck abstract from ncbi


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pmid29644053
      Clin+Kidney+J 2018 ; 11 (2 ): 149-155
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  • 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?
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