title: Standardized patient and standardized interdisciplinary team meeting: validation of a new performance-based assessment tool.
abstract: The interdisciplinary team (IDT) approach is critical in the care of elderly adults. Performance-based tools to assess IDT skills have not been well validated. A novel assessment tool, the standardized patient (SP) and standardized interdisciplinary team meeting (SIDTM), consisting of two stations, was developed. First, trainees evaluate a SP hospitalized after a fall. Second, trainees play the role of the physician in a standardized IDT meeting with a standardized registered nurse (SRN) and standardized medical social worker (SMSW) for discharge planning. The SP-SIDTM was administered to 52 fourth-year medical students (MS4s) and six geriatric medicine fellows (GMFs) in 2011/12. The SP, SRN, and SMSW scored trainee performance on dichotomous checklists of clinical tasks and Likert scales of communication skills, which were compared according to level of training using t-tests. Trainees rated the SP-SIDTM experience as moderately difficult, length of time about right, and believability moderate to high. Reliability was high for both cases (Cronbach α = 0.73-0.87). Interobserver correlation between SRN and SMSW checklist scores (correlation coefficient (r) = 0.82, P < .001) and total scores (r = 0.69, P < .001) were high. The overall score on the SP-SIDTM case was significantly higher for GMF (75) than for MS4 (65, P = .002). These observations support the validity of this novel assessment tool.
authors.affiliation: Department of Geriatric Medicine, John A. Hartford Foundation Center of Excellence in Geriatrics, Honolulu, Hawaii.
authors.forename: Misuzu
authors.initials: M
authors.lastname: Yuasa
authors.forename: Michael
authors.initials: M
authors.lastname: Nagoshi
authors.forename: Celeste
authors.initials: C
authors.lastname: Oshiro-Wong
authors.forename: Maung
authors.initials: M
authors.lastname: Tin
authors.forename: Aida
authors.initials: A
authors.lastname: Wen
authors.forename: Kamal
authors.initials: K
authors.lastname: Masaki
mesh_terms: D057189:Checklist; D002983:Clinical Competence; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000592:standards*; D004521:Educational Measurement / Q000379:methods*; D005853:Geriatrics / Q000193:education*; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration*; D014481:United States
keywords: clinical skills evaluation; geriatric education; interdisciplinary team; standardized patients; validation of assessment tool