Cover Image
QR Code

The use of clinical simulations in assessment.

Simulation-based testing methods have been developed to meet the need for assessment procedures that are both authentic and well-structured. It is widely acknowledged that, although the authenticity of a procedure may be a contributing factor to its validity, authenticity alone never is a sufficient...

Full description

Published in:Medical Education Vol. 37; pp. 65 - 72
Main Authors: Schuwirth LW, Van Der Vleuten CP
Format: Journal Article
Published: Wiley-Blackwell Nov2003 Supplement 1
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106025761&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 106025761
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        03080110
        ESF
      jtl: Medical Education
      issn: 03080110
      maglogo: Y
    pubinfo:
      dt: Nov2003 Supplement 1
      vid: 37
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        106025761
        2009389738
        NLM14641641
        106025761
      ppf: 65
      ppct: 7
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: The use of clinical simulations in assessment.
      aug:
        au:
          Schuwirth LW
          Van Der Vleuten CP
      sug:
      ab: Simulation-based testing methods have been developed to meet the need for assessment procedures that are both authentic and well-structured. It is widely acknowledged that, although the authenticity of a procedure may be a contributing factor to its validity, authenticity alone never is a sufficient factor. In this paper we describe the mainstream development of various simulation-based approaches, with their strengths and weaknesses. The purpose is not to provide a review based on an extensive meta-analysis but to present crucial factors in the development of these methods and their implications for current and future developments. The description of these simulation-based instruments uses a subdivision according to the layers of Miller's pyramid. Written and computer-based simulations are aimed at measuring the 'knows how' layer, observation-based techniques such as standardised patient-based examinations and objective structured clinical examinations target the 'shows how' layer and performance practice measures assess performance at the 'does' layer. In all simulations, case specificity was found to pose the most prominent threat to reliability, while too much structure threatened to trivialise the assessment. The conclusion is that authentic and reliable assessment is predicated on a wise balance between efficiency and adequate content sampling.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N