Publications by authors named "T Ark"
Proximity to Practice: The Role of Technology in the Next Era of Assessment.
Perspect Med Educ
December 2024
The integration of technology into health professions assessment has created multiple possibilities. In this paper, we focus on the challenges and opportunities of integrating technologies that are used during clinical activities or that are completed by raters after a clinical encounter. In focusing on technologies that are more proximal to practice, we identify tradeoffs with different data collection approaches.
View Article and Find Full Text PDFObjectives: Communication and other clinical skills are routinely assessed in medical schools using Objective Structured Clinical Examinations (OSCEs) so routinely that it can be difficult to monitor and maintain validity. We report on the accumulation of validity evidence for the Clinical Communication Skills Assessment Tool (CCSAT) based on its use with 9 cohorts of medical students in a high stakes OSCE.
Methods: We describe the implementation of the CCSAT including information on the underlying model, the tool's items, domains, scales and scoring, and its role in curriculum.
Article Synopsis
- Racial implicit bias negatively affects how physicians communicate with Black patients, leading to health disparities, and there's a need for better simulations to help doctors improve their skills in managing bias.
- The study aimed to create and evaluate a realistic simulation of clinical scenarios that could expose implicit racial bias among physicians, using a standardized patient who presented with common health issues.
- Results showed that the interaction between physicians' implicit bias scores and the race of the patient influenced how physicians were rated on their communication skills, highlighting the need for targeted training.
Purpose: The Professional Identity Essay (PIE) is a theory and evidence-based Medical Professional Identity Formation (MPIF) measure. We describe trajectories of PIE-measured MPIF over a 4-year US medical school curriculum.
Methods: Students write PIEs at medical school orientation, clinical clerkships orientation, and post-advanced (near graduation) clerkship.
Incoming medical students at a private midwestern medical school are routinely surveyed at the time of matriculation on wellness measures, one of which is the Almost Perfect Scale - Revised (APS-R). An 8-item subset of this 23-item scale has been suggested as an alternative perfectionism measure, called the Short Almost Perfect Scale (SAPS). To confirm the within-network and between-network construct validity of both scales in our population, responses in 592 matriculating medical students from the years 2020-2022 were analyzed using both versions of this scale.
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