Improving oral examinations: selecting, training, and monitoring examiners for the MRCGP. Royal College of General Practitioners.

摘要: Unless examiners are carefully selected, trained, and monitored, examinations may become haphazard. This is perhaps most true of oral or viva voce (“viva”) examinations, which can generate marks unrelated to competence. To help other bodies short circuit some years experiment in connection with the component Royal College General Practitioners' membership examination (MRCGP), this paper describes selection, training, guidance, monitoring arrangements that have been developed. The (“viva”)—a general non-patient based encounter between a candidate one more examiners—has held an important place medicine for centuries.1 Tradition aside, it used its flexibility, apparent fidelity (much concerns encounters over issues diagnosis management), potential testing higher order cognitive skills. Unfortunately prone many errors.2 These include errors relating halo effects (a judgment attribute influences judgments others); central tendency (judgments cluster middle); so called logic (mistakes); towards leniency; contrast influenced by impressions preceding candidates). Oral tend test at low taxonomic level—for example, factual knowledge rather than problem solving.3 Scores related irrelevant attributes candidates such as appearance confidence.4 Agreement often poor.4 It is, moreover, difficult establish any formal way how valid is.5 Largely abandoned North America, still widely undergraduate postgraduate United Kingdom. In 1990, 19 out 27 medical schools vivas their final qualifying 11 major assessment method.6 The Practitioners (MRCGP) …