title: The path to simulated learning: developing a valid and reliable tool to evaluate performance of radiological technology students in patient interactions.
abstract: BACKGROUND
  Simulation-enhanced education is being used in many health care curricula as an answer to an increasing demand for allied health professionals and a paucity of clinical sites crucial to providing requisite clinical education. The effective use of simulation may reduce and provide better use of the time required in clinical environments. If the use of simulation is to become a valuable addition to traditional clinical experiential learning, a reliable and valid measurement tool designed to measure a radiological technologist's performance in a practice environment is vital.
  
  
  OBJECTIVE
  This study assessed the reliability of a clinical competency evaluation tool used in the radiological technology setting. The objective was to determine the inter-rater reliability of the evaluation tool as applied to six clinical scenarios.
  
  
  METHODS
  In order to test the clinical competency evaluation tool, standardized patients portrayed radiological technologists and patients in six videotaped scenarios depicting one-on-one interactions between these two groups. Nine trained and qualified participants watched the videos and used the study tool to evaluate each radiological technologist's clinical communication competency.
  
  
  RESULTS
  Inter-rater and intraclass correlations were generated to examine the internal consistency of rater scores on the videotaped scenarios. Face and content validity were established through an authenticity exercise involving content educator experts.
  
  
  CONCLUSIONS
  Overall, this tool was shown to be a reliable, valid, feasible, and usable methodology to assess communication skills with clinical students. Further investigation of the tool is required to examine the tool's ability to reliably identify borderline or mixed skill level students under cultural and non-culture-based scenarios.
authors.affiliation: Michener Institute for Applied Health Sciences, Toronto, Ontario, Canada.
authors.forename: Rae
authors.initials: R
authors.lastname: Gropper
authors.forename: Nicole
authors.initials: N
authors.lastname: Harnett
authors.forename: Kathryn
authors.initials: K
authors.lastname: Parker
authors.forename: Sarah
authors.initials: S
authors.lastname: Pearce
authors.forename: Denise
authors.initials: D
authors.lastname: MacIver
authors.forename: Leslie
authors.initials: L
authors.lastname: Murray
authors.forename: Lorraine
authors.initials: L
authors.lastname: Ramsay
authors.forename: Ann
authors.initials: A
authors.lastname: Ripley
authors.forename: Bonnie
authors.initials: B
authors.lastname: Sands
authors.forename: Laura
authors.initials: L
authors.lastname: Zychla
mesh_terms: D002170:Canada; D057189:Checklist / Q000592:standards*; D006801:Humans; D016544:Patient Simulation; D011361:Professional Competence / Q000592:standards*; D011369:Professional-Patient Relations; D016730:Program Development; D011872:Radiology Department, Hospital