Assessment of Clinical Skills with Standardized Patients: State of the Art

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Author(s): 
van der Vleuten, C. P. M
Swanson, David B.
Publication: 
Teaching and Learning in Medicine
Volume number: 
2
Issue number: 
2
Year: 
1990
First page number: 
58
Last page number: 
76
Country: 
USA

Large scale studies of the psychometric characteristics of standardized-patient clinical examinations are reviewed, and recommendations for test improvement are offered, including (1) assessment of history taking, physical examination, and communication skills separately from diagnostic and management skills; (2) a mastery-testing framework for score interpretation; and (3) improved pass-fail standard-setting.