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The Risks of Thoroughness: Reliability and Validity of Global Ratings and Checklists in an OSCE

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Advances in Medical Education

Summary

Objective: To compare checklists against global ratings for student performance on each station in an OSCE without the confounder of the global rating scorer having first filled in the checklist. Method: Subjects were 96 medical students completing their preclinical studies, who took an 8 station clinical OSCE. 39 students were assessed with detailed performance checklists; 57 students went through the same stations but were assessed using only a single global rating per station. A subset of 39 students were assessed by two independent raters. Results: Inter-rater and inter-station reliability of the global rating was the same as for the checklist. Correlation with a concurrent multiple choice test was similar for both formats. Conclusion: The global rating was found to be as reliable as more traditional checklist scoring. A discussion of the validity of checklist and global scores suggests that global ratings may be superior.

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© 1997 Springer Science+Business Media Dordrecht

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Cunnington, J.P.W., Neville, A.J., Norman, G.R. (1997). The Risks of Thoroughness: Reliability and Validity of Global Ratings and Checklists in an OSCE. In: Scherpbier, A.J.J.A., van der Vleuten, C.P.M., Rethans, J.J., van der Steeg, A.F.W. (eds) Advances in Medical Education. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4886-3_41

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  • DOI: https://doi.org/10.1007/978-94-011-4886-3_41

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6048-6

  • Online ISBN: 978-94-011-4886-3

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