Comparing scoring instruments for the performance assessment of professional competencies

Sydney M Smee
Performance assessments of professionals are commonly scored with rating scales but checklists are used with the Objective Structured Clinical Examination (OSCE). Theory suggests checklists are too detailed (Norman, 2005a) and studies show that generic rating scales (e.g., Hodges, Regehr, McNaughton, Tiberius, & Hanson, 1999) are more discriminating and reliable. However, generic scales may represent clinical expertise too narrowly, resulting in less valid scores. Study One asked how case-specific rating scale scores and decisions compared to...
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