Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
52 participants
INTERVENTIONAL
2006-03-31
2007-06-30
Brief Summary
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Detailed Description
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Methods. We will develop a faculty development workshop aimed at improving the inter-rater reliability and accuracy of mini-CEX scores. To evaluate the workshop we will conduct a randomized, controlled trial. Preceptors will be randomly assigned to immediate or delayed workshop. The primary outcome will be inter-rater reliability of mini-CEX scores as preceptors rate videotaped resident-patient encounters before and four weeks after the workshop. We will also evaluate the accuracy of performance classifications. We will also collect mini-CEX ratings of actual resident-patient interactions one year preceding and one year following the workshop, and calculate interrater reliability.
Statistical methods. Inter-rater reliability will be determined using the intraclass correlation coefficient (ICC) and corresponding confidence intervals. ICC will be used to determine chance-corrected agreement (accuracy). Discrimination (differences in mean scores among scripted levels of performance) will also be evaluated as a measure of accuracy.
Scientific basis. Clinical performance assessments constitute a key element of resident education. The effect of rater training on the inter-rater reliability of mini-CEX scores is unknown. This workshop will utilize methods (rater error and field of reference training) shown to be effective in improving rater accuracy in non-medical fields.
Inclusion criteria. All internal medicine residency continuity clinic preceptors are eligible.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Workshop
Rater training workshop: rater error training, performance dimension training, behavioral observation training, and frame of reference training using lecture, video, and facilitated discussion
Rater training workshop
Rater training workshop: rater error training, performance dimension training, behavioral observation training, and frame of reference training using lecture, video, and facilitated discussion
Delayed workshop
No specific intervention until after follow-up assessment, then receives same workshop.
No interventions assigned to this group
Interventions
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Rater training workshop
Rater training workshop: rater error training, performance dimension training, behavioral observation training, and frame of reference training using lecture, video, and facilitated discussion
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
Yes
Sponsors
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Mayo Clinic
OTHER
Responsible Party
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Mayo Clinic
Principal Investigators
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David A Cook, MD, MHPE
Role: PRINCIPAL_INVESTIGATOR
Mayo Clinic
Locations
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Mayo Clinic
Rochester, Minnesota, United States
Countries
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References
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Cook DA, Dupras DM, Beckman TJ, Thomas KG, Pankratz VS. Effect of rater training on reliability and accuracy of mini-CEX scores: a randomized, controlled trial. J Gen Intern Med. 2009 Jan;24(1):74-9. doi: 10.1007/s11606-008-0842-3. Epub 2008 Nov 11.
Other Identifiers
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06-002730
Identifier Type: -
Identifier Source: org_study_id