James Thompson, Claire Verrall, Hans Bogaardt, Abi Thirumanickam, Charles Marley, Malcolm Boyle
Responding to the real problem of sustainable resuscitation skills with real assessment. Mixed-methods evaluation of an authentic assessment programme
Journal of evaluation in clinical practice
delivering fair reliable summative assessments medical education assumes examiner decision making devoid bias investigated whether candidate racial appearances influenced examiner ratings undergraduate clinical exams used internetbased design examiners watched randomised set six videos three different white candidates three different nonwhite asian black chinese candidates taking clinical history either fail borderline pass grades compared median interquartile range iqr paired difference scores white nonwhite candidates performance grade tested statistical significance 160 examiners participated fail grade black chinese candidates scored lower white candidate median paired differences 25 1 respectively p 0001 borderline grade black chinese candidates scored higher white candidate median paired differences 2 3 respectively p 0001 passing grade asian candidate scored lower white candidate median paired difference 1 p 0001 racial appearance candidates appeared influence scores awarded examiners uniform manner