title: [The different perspectives in the assessment of learners during supervised clinical clerkship].
abstract: OBJECTIVE
  To compare medical students' global itemized ratings (GIR) and real-case structured clinical assessment (RC-SCA), generated by faculty members from three different specialties (Gynecology-O&G, Internal Medicine-IM, Pediatrics-Ped).
  
  
  METHODS
  106 Y4 learners were assessed by one faculty member from each specialty, who filled in GIR, consisting of 6 technical domains (mean score GIRt) and 7 humanistic domains (mean score GIRh), on a 0-10 scale, and resultant RC-SCA, from direct attendance observation. Statistical analyses used Cronbach coefficient, Friedman and Wilcoxon paired tests, Pearson and Spearman correlation coefficients, Euclidean distances. Significance level=5%.
  
  
  RESULTS
  High internal consistency was observed in the three GIR (> 0.92). Ratings were negatively skewed. Ped scores were significantly lower than O&G and IM (median differences between 0.50 and 0.67), with low correlations between them (-0.02<R<0.48). the domains that had greater impact on the reliability of GIR were: clinical judgment (O&G and Ped), problem-solving (IM), and self-reflective skills (Ped). O&G and Ped scores showed the smallest agreement; GIRt Ped scores showed the greatest disagreement with all the other scores.
  
  
  CONCLUSIONS
  The specialties have different views on how to evaluate students' skills, inspite of using similar instruments, which can be a reflection of their 'culture'. the challenge remains to minimize these differences through faculty development activities.
authors.affiliation: Universidade Estadual de Campinas, Campinas, SP, Brazil. rosangela@cpdec.com.br
authors.forename: Rosângela Curvo Leite
authors.initials: RC
authors.lastname: Domingues
authors.forename: Eliana
authors.initials: E
authors.lastname: Amaral
authors.forename: Angélica Maria Bicudo
authors.initials: AM
authors.lastname: Zeferino
mesh_terms: D002982:Clinical Clerkship; D003466:Cultural Characteristics; D004521:Educational Measurement / Q000379:methods / Q000706:statistics & numerical data*; D004812:Epidemiologic Methods; D006176:Gynecology / Q000193:education; D006801:Humans; D007388:Internal Medicine / Q000193:education; D015588:Observer Variation; D010372:Pediatrics / Q000193:education