A Study On The Empirical Validity Of Clinical Physician Qualification Examination

IntroductionAs a medical access examination, The Clinical Physician Qualification Examination is a comprehensive evaluation for doctors'practical thought process and the ability of work. The reliability and validity of the examination must be high so that the exam could accurately reflect their knowledge and skills. At the same time of observing the validity of the exam, we should not only focus on the reliability of the score, but also consider the performance of the objects in the test of other situations and the performance in daily work.The most important factor to the clinical physician qualification examination is that how to determine the criterion of the empirical validity. The standard of the validity may be another similar examination or the performance from working. Physicians compared by the qualifying examination with a similar test time, content and structure, could be analyzed as a total with two degrees. Some physician could be chose to take part in the research of the examination in short time later and also take part in an objective and a practical exam. If both of the tests get high scores, we can say both of the test has high validity. On the contrast, if the scores of the two consistent are really low level test we can not determine the effect of the subjects as an ideal examination. The reliability and validity needs further study. Empirical validity of the study is to determine the criterion, compared with the examination results, analysis of the validity of physician examination; it is also known as criterion-related validity (Criterion-related Validity). To establish a standardized examination, empirical validity is so important.The research shows that the perspective from an objective evaluation of the practice of doctors qualifying examination results reflects the extent of the real situation. According to collecting and analysing the empirical data, the research studies the actual performances(work or other examinations) of research objects for physician evaluation criterion validity of the qualifying clinicians, and then it can improve and perfect the examination of qualified.Subjects and Methods163 residents graduated are used as the research subjects, including 97 residents are male and 66 are female. The test has been taken during September 16 2009 to September 26,2009. The test consists of OSCE and Theory Examination. All statistics and psychometrics analysis, including difficulty, differentiation, reliability, validity and reliability, were done with SPSS 12.0.Results1,The basic situation of the annual assessmentTheory test part of the annual assessment reliability was 0.903. The theory test is divided into the average 57.34, standard deviation of 7.03. Results and comparison between men and women were no significant differences; between the various hospitals has also been no significant difference.OSCE test average 69.66, standard deviation of 7.45. The average degree of difficulty is 0.697. To distinguish between an average of 0.411, to illustrate the distinction between the majority of cases a better degree.2,Clinician's empirical validity of the qualifying examination of the analysisClinicians qualifying examination and annual examination of a total score of the theory, basic knowledge of some of the achievements, expertise and public knowledge of some part of the results are relevant. Skills assessment and annual examinations of the relevant part has a significant statistical significance.Discussion1,The assessment of annual exam of the reliability the difficulty and the discrimination(1) the annual assessmentAnnual assessment of the reliability of better reliability coefficient was 0.903 can think better reliability. (2) OSCE testOSCE test can be considered good quality of the cases.2,The empirical analysis of the clinicians qualifying examination validity(1) Qualifying Examination clinicians has highly correlation ship with the theory assessment.(2) Qualifying Examination clinicians has moderate correlation ship with the OSCE test.(3) Qualifying Examination clinicians has low correlation ship with the assessment of daily performance.Conclusion1,The results of annual assessment of evaluation is reliable and effective.2,Clinician qualifying examination and the annual examination has significant correlation ship.3,The qualified clinicians objective test and the clinical skill competence evaluation has no significant correlation.