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Enhancing the defensibility of examiners’ marks in high stake OSCEs

Overview of attention for article published in BMC Medical Education, January 2018
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  • Good Attention Score compared to outputs of the same age (65th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (52nd percentile)

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Title
Enhancing the defensibility of examiners’ marks in high stake OSCEs
Published in
BMC Medical Education, January 2018
DOI 10.1186/s12909-017-1112-z
Pubmed ID
Authors

Boaz Shulruf, Arvin Damodaran, Phil Jones, Sean Kennedy, George Mangos, Anthony J. O’Sullivan, Joel Rhee, Silas Taylor, Gary Velan, Peter Harris

Abstract

Most assessments in health professions education consist of knowledge-based examinations as well as practical and clinical examinations. Among the most challenging aspects of clinical assessments is decision making related to borderline grades assigned by examiners. Borderline grades are commonly used by examiners when they do not have sufficient information to make clear pass/fail decisions. The interpretation of these borderline grades is rarely discussed in the literature. This study reports the application of the Objective Borderline Method (version 2, henceforth: OBM2) to a high stakes Objective Structured Clinical Examination undertaken at the end of the final year of a Medicine program in Australia. The OBM2 uses all examination data to reclassify borderline grades as either pass or fail. Factor analysis was used to estimate the suitability of data for application of OBM2. Student's t-tests, utilising bootstrapping, were used to compare the OBM2 with 'traditional' results. Interclass correlations were used to estimate the association between the grade reclassification and all other grades in this examination. The correlations between scores for each station and pass/fail outcomes increased significantly after the mark reclassification, yet the reclassification did not significantly impact on students' total scores. Examiners, students and program leaders expressed high levels of satisfaction and the Faculty's Curriculum Development Committee has decided that the OBM2 will be used for all future clinical examinations. Implications of the OBM2 are discussed. The OBM2 provides a feasible, defensible and acceptable solution for classification of borderline grades as either pass or fail.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Other 6 15%
Lecturer > Senior Lecturer 5 13%
Student > Bachelor 3 8%
Researcher 3 8%
Student > Ph. D. Student 2 5%
Other 7 18%
Unknown 13 33%
Readers by discipline Count As %
Medicine and Dentistry 12 31%
Agricultural and Biological Sciences 3 8%
Psychology 2 5%
Biochemistry, Genetics and Molecular Biology 1 3%
Pharmacology, Toxicology and Pharmaceutical Science 1 3%
Other 5 13%
Unknown 15 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 January 2018.
All research outputs
#7,296,667
of 23,015,156 outputs
Outputs from BMC Medical Education
#1,295
of 3,368 outputs
Outputs of similar age
#148,255
of 442,080 outputs
Outputs of similar age from BMC Medical Education
#32
of 72 outputs
Altmetric has tracked 23,015,156 research outputs across all sources so far. This one has received more attention than most of these and is in the 67th percentile.
So far Altmetric has tracked 3,368 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.3. This one has gotten more attention than average, scoring higher than 60% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 442,080 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 65% of its contemporaries.
We're also able to compare this research output to 72 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.