Journal article
The Skin Cancer Objective Structured Clinical Examination (SCOSCE): A multi-institutional collaboration to develop and validate a clinical skills assessment for melanoma
Journal of the American Academy of Dermatology, Vol.73(6), pp.959-965
12/2015
DOI: 10.1016/j.jaad.2015.08.014
PMID: 26410358
Abstract
Assessing medical students on core skills related to melanoma detection is challenging in the absence of a well-developed instrument.
We sought to develop an objective structured clinical examination for the detection and evaluation of melanoma among medical students.
This was a prospective cohort analysis of student and objective rater agreement on performance of clinical skills and assessment of differences in performance across 3 schools.
Kappa coefficients indicated excellent agreement for 3 of 5 core skills including commenting on the presence of the moulage (k = 0.87, 95% confidence interval 0.77-0.96), obtaining a history for the moulage (k = 0.84, 95% confidence interval 0.74-0.94), and making a clinical impression (k = 0.80, 95% confidence interval 0.68-0.92). There were no differences in performance across schools with respect to 3 of 5 core skills: commenting on the presence of the moulage (P = .15), initiating a history (P = .53), and managing the suspicious lesion (P value range .07-.17). Overall, 54.2% and 44.7% of students commented on the presence of the moulage and achieved maximum performance of core skills, respectively, with no difference in performance across schools.
Limitations include overall sample size of students and schools.
The Skin Cancer Objective Structured Clinical Examination represents a potentially important instrument to measure students' performance on the optimal step-by-step evaluation of a melanoma.
Details
- Title: Subtitle
- The Skin Cancer Objective Structured Clinical Examination (SCOSCE): A multi-institutional collaboration to develop and validate a clinical skills assessment for melanoma
- Creators
- Amit Garg - Department of Dermatology, Hofstra North Shore-LIJ School of Medicine, Hempstead, New YorkKatie Biello - Department of Epidemiology, Harvard School of Public Health, Boston, MassachusettsJoyce W Hoot - Department of Dermatology, Boston University School of Medicine, Boston, MassachusettsShalini B Reddy - Department of Dermatology, Boston University School of Medicine, Boston, MassachusettsLindsay Wilson - Department of Dermatology, University of Utah School of Medicine, Salt Lake City, UtahPaul George - Department of Family Medicine, Brown Alpert Medical School, Providence, Rhode IslandLeslie Robinson-Bostom - Department of Dermatology, Brown Alpert Medical School, Providence, Rhode IslandLeah Belazarian - Division of Dermatology, University of Massachusetts Medical School, Worcester, MassachusettsErik Domingues - Division of Dermatology, University of Massachusetts Medical School, Worcester, MassachusettsJennifer Powers - Department of Dermatology, Boston University School of Medicine, Boston, MassachusettsReza Jacob - Department of Dermatology, Boston University School of Medicine, Boston, MassachusettsMichael Powers - Department of Dermatology, Boston University School of Medicine, Boston, MassachusettsJustin Besen - Department of Dermatology, Boston University School of Medicine, Boston, MassachusettsAlan C Geller - Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts
- Resource Type
- Journal article
- Publication Details
- Journal of the American Academy of Dermatology, Vol.73(6), pp.959-965
- DOI
- 10.1016/j.jaad.2015.08.014
- PMID
- 26410358
- NLM abbreviation
- J Am Acad Dermatol
- ISSN
- 0190-9622
- eISSN
- 1097-6787
- Publisher
- Elsevier Inc
- Grant note
- Harry J. Lloyd Charitable Trust (http://dx.doi.org/10.13039/100005976)
- Language
- English
- Date published
- 12/2015
- Academic Unit
- Dermatology
- Record Identifier
- 9984025351802771
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