摘要：This paper describes an assessment approach of clinical competencies whichwidens the number of problems and tasks evaluated using videos andimages. Clinical Image and Video Assessment (CIVA) was used to assess clinicalreasoning and decision making of final year medical students. Forty to fiftyclinical videos and images supported by rich text vignette and reviewed bysubject matter experts were selected based on examination blueprints foranalysis. CIVA scores were correlated with OSCE, Direct Observation ClinicalEncounter Exam (DOCEE) and written exam scores, using the 2-sided Pearsoncorrelation analysis, and their reliability was analyzed usingCronbach’s Alpha Coefficient. Furthermore, students personallyevaluated the CIVA using a 5- point Likert scale. CIVA and OSCE scores showed a high correlation (r = 0.83) incontrast with the correlation scores of the written examination(r = .36) and the DOCEE (r = 0.35). Cronbach’sAlpha for the OSCE and CIVA for the first batch was 0.71 and 0.78. As forthe second batch it was 0.91 and 0.91 respectively. Eighty-two percent ofstudents were very satisfied or satisfied with the CIVA process, contentsand quality. A well constructed CIVA type assessment with a rich authentic vignette andgood quality videos and images could be used to assess clinical reasoningand decision making of final year medical students. CIVA is an assessmenttool which correlates well with OSCE, compliments the written and DOCEE andis easier to conduct at a possibly reduced cost.
关键词：Medical Student;Clinical Reasoning;Clinical Competency;Include Pattern Recognition;Clinical Skill Training
