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Letters |2 February 1999

Computers and Evaluation of Clinical Competence

S. Barry Issenberg, MD; William C. McGaghie, PhD; Robert A. Waugh, MD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • University of Miami School of Medicine; Miami, FL 33101 (Issenberg) Northwestern University Medical School; Chicago, IL 60611 (McGaghie) Duke University Medical Center; Durham, NC 27710 (Waugh)
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TO THE EDITOR:
We agree with Holmboe and Hawkins (1) that evaluation of clinical competence is complex and that no single tool can adequately assess residents' knowledge, skills, and attitudes. We add to their list of options the use of simulation and multimedia computer technology, especially to assess bedside skills.
Studies that document the lack of proficiency in physical examination skills of residents stress that repetition through simulation is a logical remedy (2). The American Association of Medical Colleges recognizes the value of computer technologies and encourages assessment and demonstration at its scientific sessions. The National Board of Medical Examiners (NBME) recently stressed the value of skills assessment using simulation technology at the 8th International Ottawa Conference on Medical Education and Assessment (3). The NBME CBX Project uses simulation technology for evaluation. Computer-based case presentations require learners to make clinical decisions in real time. Decisions are scored against “gold standard” criteria defined by expert physicians. These simulations will soon become part of national board examinations. The Institute for Clinical Evaluation of the American Board of Internal Medicine is also developing assessment systems that advance the use of new technology in the examination process.
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Issenberg SB, McGaghie WC, Waugh RA. Computers and Evaluation of Clinical Competence. Ann Intern Med. ;130:244. doi: 10.7326/0003-4819-130-3-199902020-00020

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Published: Ann Intern Med. 1999;130(3):244.

DOI: 10.7326/0003-4819-130-3-199902020-00020

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