Skip to main content

The reliability of long and short cases undertaken as practice for a summative examination

Buy Article:

$43.00 plus tax (Refund Policy)

Abstract Background:

This study explores whether long and short cases performed in the workplace during training could be integrated into an overall summative assessment. Less examiner training and a less formalized structure might compromise reliability, but increased testing time might improve it. Methods:

Results of practice long and short cases, undertaken in preparation for the Royal Australasian College of Physicians clinical examination, were compared with actual examination results. The effects on reliability of the examination were compared by modelling varying combinations of practice and examination long and short cases. Results:

Fifty-nine candidates in two centres undertook 256 practice long cases and 154 practice short cases. Two practice long cases correlated with two examination long cases (r= 0.46). The reliability of a single long case was 0.22 under practice conditions and 0.36 under examination conditions. The reliability of a single short case was similar under either condition (0.18 vs 0.21). Reliability of over 0.80 could be achieved by assimilating two examination long cases and four examination short cases with varying combinations of seven practice cases. Conclusions:

Long cases undertaken in the workplace are not as reliable those undertaken under examination conditions, but short cases have similar reliability under either condition.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: clinical competence standards; education; educational measurement; graduate; internal medicine education; medical; professional competence; reliability

Document Type: Research Article

Affiliations: 1: Royal Perth Hospital, Department of Clinical Immunology and Immunogenetics, Perth, Western Australia, 2: Centre for Continuing Education and Professional Development, John Hunter Hospital, Newcastle, 3: Department of Medicine, University of Otago, Christchurch, New Zealand,

Publication date: 2010-08-01

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more