Medical students' assessment of pediatric patients - teaching and evaluation using video cases.
BACKGROUND
We introduced video-based teaching in pediatrics. We evaluated the impact of a pediatric video program on student performance in assessing pediatric patients presented as video cases. The program consisted of a library of pediatric videos, and inclusion of these in the teaching and examination for pediatric medicine.


METHODS
Medical students on a pediatric clerkship at the University of Copenhagen assessed eight short pediatric video cases during autumn 2011 and spring 2012. Two independent observers evaluated a subset of records in a pilot study. A blind evaluation was made of the written records of 37 students before, and 58 students after, the introduction of the program using a Rubric score with four domains.


RESULTS
The intraobserver interclass correlation coefficient was 0.94 and the interobserver interclass correlation was 0.71(n=25). The students' mean total Rubric score in spring 2012 (7.0) was significantly higher (p<0.001, 95% CI 1.34-3.20) than autumn 2011 (4.7). Cohen's d was 1.1 (95% CI 0.6-1.7). Single domains scores increased significantly for general assessment (1.30 versus 0.57) (p<0.002, 95% CI 0.45-1.18), recognition of principal symptoms (1.38 versus 0.81) (p<0.008, 95% CI 0.22-0.91), appropriate diagnosis (2.28 versus 1.78) (p<0.002, 95% CI 0.16-0.82) and consistency between observed symptoms and diagnosis (1.94 versus 1.57) (p=0.0482, 95% CI 0.00-0.79).


CONCLUSIONS
Students improved in evaluating pediatric patients presented as video cases after the introduction of the program. The impact on real-life situations remains to be established.
Michelle
M
Malon
Dina
D
Cortes
Gorm Ole
GO
Greisen
D000328:Adult; D002983:Clinical Competence; D003479:Curriculum; D003718:Denmark; D004504:Education, Medical, Undergraduate / Q000458:organization & administration*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D015588:Observer Variation; D010372:Pediatrics / Q000193:education*; D010865:Pilot Projects; D015397:Program Evaluation; D012577:Schools, Medical / Q000458:organization & administration; D013337:Students, Medical / Q000706:statistics & numerical data; D013663:Teaching / Q000379:methods; D014741:Video Recording