• Pak J Med Sci · Nov 2019

    Agreement between simulated patients and faculty: Assessment of communication skills during objective structured clinical examination.

    • Farheen Yousuf and Naveed Yousuf.
    • Dr. Farheen Yousuf, MRCOG, FCPS. Department of Obstetrics and Gynecology, Medical College, Aga Khan University, Karachi, Pakistan.
    • Pak J Med Sci. 2019 Nov 1; 35 (6): 1570-1574.

    ObjectiveEnsuring competence in communication skills amongst trainees is essential in health professions education. Involving faculty members for the same is a challenge in Obstetrics and Gynecology (OBGYN) due to their clinical commitments. The present study compares scores of OBGYN faculty, non-OBGYN faculty and simulated patients (SPs) on communication skills of postgraduate trainees during formative Objective Structured Clinical Examination (OSCE).MethodsThis is a psychometric study conducted in Feburary 2017 at the Aga Khan University Medical College (AKU-MC). All thirty-two postgraduate trainees of OBGYN gave consent. Each trainee was assessed by OBGYN faculty, non-OBGYN faculty and SP on communication skills at six stations using nine-point itemized rating-scale during formative OBGYN OSCE. The scores were reviewed using descriptive statistics, reliability was calculated using Cronbach's alpha and inter-rater reliability was analyzed using Pearson correlation and intra-class correlation coefficient.ResultsThe score reliability of each of the examiners was >0.7. The mean scores showed that OBGYN faculty were most stringent while SPs were lenient examiners, however, non-OBGYN faculty scored in between. The inter-rater reliability among any two of the OBGYN, non-OBGYN and SP examiner was >0.84 using Pearson correlation and >0.9 using intra-class correlation.ConclusionThe SPs and non-OBGYN clinical faculty can also be used to assess communication and counseling skills on OBGYN OSCEs after required training as examiners.Copyright: © Pakistan Journal of Medical Sciences.

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