Abstract
Objective
The American Board of Psychiatry and Neurology (ABPN) requires applicants to successfully complete at least 3 Clinical Skills Evaluations (CSE) as part of the credentialing requirements to sit for the psychiatry certification examination. The authors examined a database of CSE assessments conducted at a single site to determine the interrater and test-retest reliability of the evaluation.
Methods
The authors examined 159 CSE assessments of 51 practicing psychiatrists who completed residency prior to the implementation of CSEs, but did not previously sit for the ABPN examination and later required CSEs to do so. Of these, 36 were simultaneously observed by 2 evaluators, at least 1 of whom had extensive experience with the CSE and 8 of whom were novice evaluators. At least 3 CSEs were done on the same day by each candidate.
Results
The intraclass correlations for CSEs observed by 2 evaluators for the 3 clinical skills assessed (patient–physician relationship, conduct of the interview, and case presentation), were in the low-moderate “good” range for interrater reliability. Test-retest reliability for all candidates was in the moderate–high “good” range. Significant learning took place between the 1st and 3rd CSEs, with a mean improvement of 0.42–0.49 points on an 8-point scale (p < 0.01).
Conclusions
These data demonstrate good interrater reliability for the CSE even when conducted by novice faculty evaluators and good test-retest reliability despite significant learning that occurred over the series of assessments. The study supports both the educational and assessment value of the CSE.
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References
American Board of Psychiatry and Neurology, Inc. Requirements for clinical skills evaluation in psychiatry. 2017. https://www.abpn.com/wp-content/uploads/2015/01/CSE-Psychiatry-2017.pdf. Accessed 24 April 2020.
ACGME Program Requirements for Graduate Medical Education in Psychiatry. 2019. https://acgme.org/Portals/0/PFAssets/ProgramRequirements/400_Psychiatry_2019.pdf?ver=2019-08-26-134127-827. Accessed 24 April 2020.
Jibson MD, Broquet KE, Anzia JM, Beresin EV, Hunt JI. Kaye D, Rao NR; Rostain AL; Sexson SB; Summers RF; ABPN Task Force on Clinical Skills Verification Rater Training. Clinical skills verification in general psychiatry: recommendations of the ABPN Task Force on Rater Training. Acad Psychiatry. 2012;36:363–8.
AADPRT Virtual Training Office. ABPN approved CSV/CSA v.2013. 2013. https://portal.aadprt.org/public/vto/categories/Program%20Administration%20Tools/Clinical%20Skills%20Assessment/Forms/58000e48bf07a_AADPRT_CSV_3b_rev_8-5-2013.pdf. Accessed 24 April 2020.
Dalack GW, Jibson MD. Clinical skills verification, formative feedback, and psychiatry residency trainees. Acad Psychiatry. 2012;36:122–5.
Juul D, Brooks BA, Jozefowicz R, Jibson M, Faulkner L. Clinical skills assessment: the effects of moving certification requirements into neurology, child neurology, and psychiatry residency training. J Grad Med Educ. 2015;7:98–100.
Rao NR, Kodali R, Mian A, Ramtekkar U, Kamarajan C, Jibson MD. Psychiatric residents’ attitudes towards and experiences with the clinical skills verification process - a pilot study of US and International Medical Graduates. Acad Psychiatry. 2012;36:316–22.
Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86:420–8.
Cicchetti DV. Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Assess. 1994;6:284–90.
McDermott JF Jr, Tanguay PE, Scheiber SC, Juul D, Shore JH, Tucker GJ, et al. Reliability of the Part II board certification examination in psychiatry: interexaminer consistency. Am J Psychiatry. 1991;148:1672–4.
McDermott JF Jr, Tanguay PE, Scheiber SC, Juul D, Shore JH, Tucker GJ, et al. Reliability of the Part II board certification examination in psychiatry: examination stability. Am J Psychiatry. 1993;150:1077–80.
Balon R, Beresin EV, Guerrero APS, Morreale MK, Aggarwal R, Louie AK, et al. Clinical skills verification: a problematic examination. Acad Psychiatry. 2019;44:255–9.
Funding
This study was supported by the American Board of Psychiatry and Neurology through a Fellowship Grant and Research Award.
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This study was reviewed by the University of Michigan Institutional Review Board and granted a Notice of Exemption on October 8, 2009.
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Dr. Jibson and Ms. Keshavarzi report grants from the American Board of Psychiatry and Neurology during the conduct of the study.
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Jibson, M.D., Keshavarzi, N. Psychiatry Clinical Skills Evaluation: Interrater Reliability of the American Board of Psychiatry and Neurology Required Assessment. Acad Psychiatry 45, 420–424 (2021). https://doi.org/10.1007/s40596-020-01337-3
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DOI: https://doi.org/10.1007/s40596-020-01337-3