Standardized (simulated) patients' accuracy in recording clinical performance check‐list items

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Abstract
Summary. In large‐scale performance‐based assessment of medical professionals' clinical competence, simulated patients (standardized patients ‐ SPs) are used not only to simulate case problems but also to record on check‐list the examinees' clinical performance during their encounter with the SPs. The purposes of this study were to determine the SPs' overall accuracy in recording check‐list items, and whether their accuracy was affected by the various characteristics of the check‐list, and by the different times during a day and the different days within the examination when the recordings were obtained. Results showed that the SPs' accuracy in recording check‐list items was good to very good and was affected by the length of the check‐list, as well as by the type and the clarity of the check‐list item. It was further found that the SPs' accuracy was consistent and did not vary over the course of a one‐day or a 15‐day examination.

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