Format

Send to

Choose Destination
See comment in PubMed Commons below
Acad Med. 2009 Oct;84(10 Suppl):S101-4. doi: 10.1097/ACM.0b013e3181b36f8b.

Predicting failing performance on a standardized patient clinical performance examination: the importance of communication and professionalism skills deficits.

Author information

1
Anna.Chang@ucsf.edu

Abstract

BACKGROUND:

The purpose is to determine which assessment measures identify medical students at risk of failing a clinical performance examination (CPX).

METHOD:

Retrospective case-control, multiyear design, contingency table analysis, n = 149.

RESULTS:

We identified two predictors of CPX failure in patient-physician interaction skills: low clerkship ratings (odds ratio 1.79, P = .008) and student progress review for communication or professionalism concerns (odds ratio 2.64, P = .002). No assessments predicted CPX failure in clinical skills.

CONCLUSIONS:

Performance concerns in communication and professionalism identify students at risk of failing the patient-physician interaction portion of a CPX. This correlation suggests that both faculty and standardized patients can detect noncognitive traits predictive of failing performance. Early identification of these students may allow for development of a structured supplemental curriculum with increased opportunities for practice and feedback. The lack of predictors in the clinical skills portion suggests limited faculty observation or feedback.

PMID:
19907367
DOI:
10.1097/ACM.0b013e3181b36f8b
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins - Ovid Insights
    Loading ...
    Support Center