7. Internal
Sources of
Information
Candidate training levels vary within cohort
Rater:
– Experience – new vs experienced
– References & pattern recognition
– Internalization of external criteria:
- Interpreting guidelines & scales
- Comparing benchmarks to candidate
Internal Variance
8. Cognitive
Processes:
Rater thinking
• Weighting – good vs poor
• Looking for ….
• Comparing ……
• Making inferences
• Nuances
– “Everything was well done EXCEPT
what I think is MOST important!!!!”
Integrate Objective Tools with a Subjective Lens
9. Step 2 & 3:
Raters See Things Differently or See Different Things:
Adapted by Sibbald from Sebok, 2015:
Understanding how raters communicate in the context of medical high-stakes, performance-based assessments
Internal Information
Cherished values Subjective – social judgments?
Emotional responses Subjective – social judgments?
Impression formation Subjective – bias?
Cognitive processing
Memory models Analytic vs holistic
Mental workload capacity Task demand/Time management
10. Customized training: 5-9 hours
3-5 videos
Examiner calibration
– large/small groups
Operational Logistics
– tablet scoring training etc.
Criteria &
Tools
Cognitive
Processes
Operational
Logistics
New examiners Feedback from last OSCE