From: Validity of a new assessment rubric for a short-answer test of clinical reasoning
Ā | # of Items | Mean (SD) | Cronbachās Alpha | Corrected Item-Total Correlation | Cronbachās Alpha if item deleted |
---|---|---|---|---|---|
Questions with Cronbachās alpha <0.70 | |||||
Q2 (Section one). The table below describes different mechanisms that may be influencing the patientās pain. Based on the information provided in the subjective examination, list the evidence, if any that would be most indicative of each pain mechanism. Consider all areas of pain (8 marks) | 3 | 5.66/8 (1.39) | 0.667 | 0.433ā0.513 | 0.536ā0.631 |
Q4 (Section one). Which category best describes the overall irritability of this patientās condition (Mild, Mild-moderate, Moderate, Moderate-Severe, Severe). Justify your answer with 4 pieces of evidence from the subjective examination. What are the implications of this for the physical examination? (3 marks) | 3 | 1.75/3 (0.58) | 0.616 | 0.206ā0.781 | 0.116ā0.799 |
Q6 (Section one). List 3 subjective examination findings that would indicate caution must be observed during the objective examination. Explain why. (3 marks) | 2 | 1.60/3 (0.71) | 0.683 | 0.528 | n/a |
Q2 (Section two). List 2 favourable and 2 unfavourable prognostic indicators for this patient and considering these, describe your predictive outcome. (3 marks) | 2 | 2.0/3 (0.56) | 0.497 | 0.34 | n/a |
Questions with item-total correlationsā>ā0.70 | |||||
Q7 (Section one). After reading the subjective data, list the 2 (most likely) clinical hypotheses and provide 3 subjective findings to support each hypothesis. (3 marks) | 2 | 1.69/3 (0.50) | 0.843 | 0.733 | n/a |
Q8 (Section one). Based on the subjective examination you have developed two clinical hypotheses. Provide 4 key elements of your physical examination and under each element state 2 of the most relevant tests you would perform and explain how these would help you confirm or negate your hypotheses. (8 marks) | 2 | 5.01/8 (1.59) | 0.857 | 0.753 | n/a |
Q9 (Section one). What are 2 outcome measurement tools or screening tools that you would use to monitor this patientās progress and provide your rationale for choosing them. (2 marks) | 2 | 1.57/2 (0.46) | 0.858 | 0.76 | n/a |
Q1 (Section two). Provide your main hypothesis for this patientās clinical picture. Outline in detail your rationale and justification for this hypothesis with consideration of the evidence from both the subjective and objective examination. (8 marks) | 2 | 5.57/8 (1.57) | 0.882 | 0.789 | n/a |
Q4 (Section two). Indicate your primary functional goal as it relates to the activity limitations and participation restrictions and select 2 problems that would be the most relevant to address. Include your treatment goal for each problem and the testing criteria you would use to monitor change. (6 marks) | 5 | 3.76/6 (1.44) | 0.931 | 0.700ā0.903 | 0.89ā0.935 |
Q5 (Section two). Outline in detail the management strategies you would use over the first two treatments under the following headings: manual therapy, exercise, education and other. Include your rationale. (8 marks) | 7 | 5.11/8 (1.72) | 0.935 | 0.730ā0.879 | 0.917ā0.935 |
Q6 (Section two). Outline in detail your progression of subsequent treatments to discharge, addressing all the identified problems and provide your rationale. Use the following headings: manual therapy, exercise, education and other. (8 marks) | 6 | 4.84/8 (1.83) | 0.931 | 0.709ā0.917 | 0.903ā0.938 |