Scientific article
English

The Patient Findings Questionnaire: one solution to an important standardized patient examination problem

Published inAcademic medicine, vol. 74, no. 10, p. 1118-1124
Publication date1999
Abstract

PURPOSE: To describe the Patient Findings Questionnaire (PFQ) and compare its scores and pass/fail decisions with those obtained from standardized patient (SP) examination checklists. METHOD: Checklists and PFQs were used to assess data acquisition by 790 second-year medical students. PFQs were composed of multiple-choice items designed to determine whether examines had acquired key historical patient information. RESULTS: At the item level, the two measurement methods yielded the same decisions about data acquisition on 88% of observed occasions. Most discrepancies (74%) involved SPs rating examinees as having elicited information when the examinee was unable to answer the associated PFQ item. At the test level, the two instruments yielded the same pass/fail decision on a large majority of occasions. CONCLUSIONS: The PFQ and checklist yielded similar data acquisition scores and decisions at the item and test levels. Replacement of the checklist with the PFQ should result in examinees' behaving in a way more consistent with recommended interviewing practices.

Keywords
  • Chicago
  • Clinical Competence
  • Education, Medical, Undergraduate
  • Educational Measurement
  • Humans
  • Medical History Taking
  • Psychometrics
  • Reproducibility of Results
Citation (ISO format)
WILLIAMS, R.G. et al. The Patient Findings Questionnaire: one solution to an important standardized patient examination problem. In: Academic medicine, 1999, vol. 74, n° 10, p. 1118–1124. doi: 10.1097/00001888-199910000-00015
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Journal ISSN1040-2446
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