NDLI: Validity and reliability of a novel written examination to assess knowledge and clinical decision making skills of medical students on the surgery clerkship.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Reinert, Anna Berlin, Ana Swan-Sein, Aubrie Nowygrod, Roman Fingeret, Abbey
Spatial Coverage	United States
Description	Country affiliation: United States Author Affiliation: Reinert A ( Department of Surgery, New York-Presbyterian Hospital, Columbia University Medical Center, 177 Fort Washington Avenue, MHB 7GS-313, New York, NY 10032, USA.); Berlin A ( Department of Surgery, New York-Presbyterian Hospital, Columbia University Medical Center, 177 Fort Washington Avenue, MHB 7GS-313, New York, NY 10032, USA.); Swan-Sein A ( Center for Education Research and Evaluation, Columbia University Medical Center, New York, NY, USA.); Nowygrod R ( Department of Surgery, New York-Presbyterian Hospital, Columbia University Medical Center, 177 Fort Washington Avenue, MHB 7GS-313, New York, NY 10032, USA.); Fingeret A ( Department of Surgery, New York-Presbyterian Hospital, Columbia University Medical Center, 177 Fort Washington Avenue, MHB 7GS-313, New York, NY 10032, USA. Electronic address: af2451@columbia.edu.)
Abstract	BACKGROUND: The Surgery Clerkship Clinical Skills Examination (CSE) is a novel written examination developed to assess the surgical knowledge, clinical decision making, communication skills, and professionalism of medical students on the surgery clerkship. This study was undertaken to determine its validity. METHODS: Data were prospectively collected from July 2011 through February 2013. Multivariate linear and logistic regression analyses were used to assess score trend; convergent validity with National Board of Medical Examiners surgery and medicine subject scores, United States Medical Licensing Examination Step 1 and Step 2 Clinical Knowledge scores, and evaluation of clinical reasoning and fund of knowledge; and the effect of clerkship order. Exam reliability was assessed using a modified Cronbach's statistic. RESULTS: During the study period, 262 students completed the CSE, with a normal distribution of performance. United States Medical Licensing Examination Step 2 Clinical Knowledge score and end-of-clerkship evaluations of fund of knowledge and clinical reasoning predicted CSE score. Performance on the CSE was independent of clerkship order or prior clerkships. The modified Cronbach's value for the exam was .67. CONCLUSIONS: The CSE is an objective, valid, reliable instrument for assessing students on the surgery clerkship, independent of clerkship order.
File Format	HTM / HTML
ISSN	00029610
Issue Number	2
Volume Number	207
e-ISSN	18791883
Journal	The American Journal of Surgery
Language	English
Publisher	Elsevier
Publisher Date	2014-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Decision Making Clinical Competence Prospective Studies United States Humans Students, Medical Clinical Clerkship General Surgery Journal Article Reproducibility Of Results Discipline General Surgery Education Education, Medical, Undergraduate Educational Measurement Schools, Medical Methods
Content Type	Text
Resource Type	Article
Subject	Surgery

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