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Impact of an In-Person Versus Web-Based Practice Standardized Patient Examination on Student Performance on a Subsequent High-Stakes Standardized Patient Examination
Authors:Karen E. Hauer  Calvin L. Chou  Kevin H. Souza  Duncan Henry  Helen Loeser  Christian Burke
Affiliation:1. Department of Medicine , University of California , San Francisco, California, USA;2. Veterans Affairs Medical Center , University of California , San Francisco, California, USA;3. School of Medicine , University of California , San Francisco, California, USA;4. School of Medicine , University of California , San Francisco, California, USA
Abstract:Background: Optimal methods of preparing students for high-stakes standardized patient (SP) examinations are unknown. Purposes: The purpose is to compare the impact of two formats of a formative SP examination (Web-based vs. in-person) on scores on a subsequent high-stakes SP examination and to compare students' satisfaction with each formative examination format. Methods: Clustered randomized trial comparing a Web-based module versus in-person formative SP examination. We compared scores on a subsequent high-stakes SP examination and satisfaction. Results: Scores on the subsequent high-stakes SP examination did not differ between the two formative formats but were higher after the formative assessment than without (p < .001). Satisfaction was higher with the in-person than Web-based formative assessment format (4.00 vs. 3.62 on a 5-point scale, p = .01). Conclusions: Two formats of a formative SP examination led to equivalent improvement in scores on a subsequent high-stakes examination. Students preferred an in-person formative examination to online but were satisfied with both.
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