CALIBRATION OF COMMUNICATION SKILLS ITEMS IN OSCE CHECKLISTS ACCORDING TO THE MAAS-GLOBAL.
Date
2016Author
SETYONUGROHO, WINNY
KROPMANS, THOMAS
KENNEDY, KIERAN
STEWARD, BRIAN
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Show full item recordAbstract
Background: Communication skills (CS) are commonly assessed using ’communication items’ in Objective
Structured Clinical Examination (OSCE) station checklists. Our aim is to calibrate the communication
component of OSCE station checklists according to the MAAS-Global which is a valid and reliable
standard to assess CS in undergraduate medical education.
Method: Three raters independently compared 280 checklists from 4 disciplines contributing to the
undergraduate year 4 OSCE against the 17 items of the MAAS-Global standard. G-theory was used to
analyze the reliability of this calibration procedure.
Results: G-Kappa was 0.8. For two raters G-Kappa is 0.72 and it fell to 0.57 for one rater. 46% of the
checklist items corresponded to section three of the MAAS-Global (i.e. medical content of the
consultation), whilst 12% corresponded to section two (i.e. general CS), and 8.2% to section one (i.e. CS for
each separate phase of the consultation). 34% of the items were not considered to be CS.
Conclusion: A G-Kappa of 0.8 confirms a reliable and valid procedure for calibrating OSCE CS checklist
items using the MAAS-Global. We strongly suggest that such a procedure is more widely employed to
arrive at a stable (valid and reliable) judgment of the communication component in existing checklists for
medical students’ communication behaviours.
Practice implications: It is possible to measure the ‘true’ caliber of CS in OSCE stations. Students’ results are
thereby comparable between and across stations, students and institutions. A reliable calibration
procedure requires only two raters.