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Furthering the Validity of a Tool to Assess Non‐Directive Pregnancy Options Counseling Skills
Background: The Association of Professors of Obstetrics and
Gynecology has designated a non-directive pregnancy options counseling as one
of the few skills in women’s reproductive health at a “does” level of
competency, creating the need for a validated assessment tool.
Methods: A previously developed rating tool was
distributed nationally for enhancement of content validity. A pilot, using an
OSCE that also had been previously developed, was implemented in a family
medicine clerkship with third year medical students. Response process data
directed improved clarity and organization of the tool. Three raters trained
through review of training videos and a think-aloud process then used previously
taped videos of 46 performances to yield the data for internal structure and
correlation with other variables.
Results: The content validity of the original tool was
affirmed. Internal structure data included a Cronbach’s alpha of 0.704. Overall
communication skills and the global rating for patient-centered communication
generated moderate to substantial agreement. All but one item unique to the
clinical situation of pregnancy options counseling generated substantial to
near-perfect agreement. Relations to other variables within the checklist were
strong, while relations to variables assessed outside of this OSCE, including
clerkship communication grades, was poor.
Discussions: This tool for assessing pregnancy options
counseling skills has excellent content and strong internal structure validity.
Further work to improve the validity of the global and overall communication
skills scales may be necessary for summative use.
Keywords: OSCE asssessment pregnancy-options
CREOG & APGO Annual Meeting, 2016, Faculty, Clerkship Director, Osteopathic Faculty, Residency Director, Patient Care, Professionalism, Interpersonal & Communication Skills, GME, UME, Assessment, Standardized Patient, Public Health, Contraception or Family Planning,