George Shaw, Bianca A Castro, Laura H Gunn, Keith Norris, Roland J Thorpe
The Association of eHealth Literacy Skills and mHealth Application Use Among US Adults With Obesity: Analysis of Health Information National Trends Survey Data
JMIR mHealth and uHealth
construct clinical skills used care patients including reporting diagnostic reasoning decisionmaking skills written comprehensive new patient admission notes hps ubiquitous part student education underutilized assessment clinical skills interpretive summary differential diagnosis explanation reasoning alternatives idea assessment tool developed assess students clinical skills using written comprehensive new patient admission notes validity evidence assessment clinical skills using clinical documentation following authentic patient encounters well documented diagnostic justification tools postencounter notes described literature 12 based standardized patient encounters knowledge idea assessment tool first published tool uses medical students hps rate students clinical skills idea assessment tool 15item instrument asks evaluators rate students reporting diagnostic reasoning decisionmaking skills based medical students new patient admission notes study presents validity evidence support idea assessment tool using messicks unified framework including content theoretical framework response process interrater reliability internal structure factor analysis internalconsistency reliability relationship variables validity evidence based results four studies conducted 2010 2013 first factor analysis 2010 n 216 yielded threefactor solution measuring patient story idea completeness reliabilities 79 88 79 respectively second initial interrater reliability study 2010 involving two raters demonstrated fair moderate consensus 2156 4279 third second interrater reliability study 2011 22 trained raters also demonstrated fair moderate agreement intraclass correlations iccs 2967 moderate reliability three skill domains including reporting skills icc 53 diagnostic reasoning skills icc 64 decisionmaking skills icc 63 fourth significant correlation idea rating scores 20102013 final internal medicine clerkship grades r 24 95 confidence interval ci 15 33 idea assessment tool novel tool validity evidence support use assessment students reporting diagnostic reasoning decisionmaking skills moderate reliability achieved supports formative lower stakes summative uses rather highstakes summative judgments