Gesine Richter, Nourane Trigui, Amke Caliebe, Michael Krawczak
Attitude towards consent-free research use of personal medical data in the general German population
Heliyon
clinical reasoning cr complex skill enabling transition clinical novice expert decision maker objective structured clinical examination osce widely used evaluate clinical competency though limited literature exploring assessment best used assess cr skills proofofconcept study explored creation pilot testing poststation cr assessment named oral debrief od context undergraduate medical education modifieddelphi technique used create standardised domainbased od marking rubric encapsulating key skills cr drew upon existing literature existing placementbased cr tool 16 osce examiners recruited score three simulated od recordings scripted portray differing levels competency adopting thinkaloud approach examiners vocalised thought processes utilising rubric assess video thereafter semistructured interviews explored examiners views od approach recordings transcribed anonymised analysed deductively inductively recurring themes additionally interrater agreement examiners scoring determined using fleiss kappa statistic within group comparison reference examiner group rubric achieved fair good levels interrater reliability metrics across constituent domains overall global judgement scales thinkaloud scoring revealed participating examiners considered several factors scoring students cr abilities included adoption confident structured approach discriminating relevant lessrelevant information ability prioritise justify decision making furthermore students cr skills judged light potential risks patient safety examiners illness scripts feedback examiners indicated whilst additional training rubric usage would beneficial od offered positive approach examining cr ability pilot study demonstrated promising results use novel poststation od task evaluate medical students cr ability osce setting work planned evaluate od approach effectively implemented routine assessment practice