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Table 4 Illustrative quotes – disadvantages of mark inclusion

From: Incorporating patient partner scores into high stakes assessment: an observational study into opinions and attitudes

“As all PPs know it can be very difficult to maintain consistency of marking throughout any exam, so the pressure of knowing their mark will constitute a significant percentage of the overall mark could compound the difficulty should fatigue set in, leading to undue generosity perhaps” PP3, female aged 60-69
“If a student is nervous then perhaps he or she is unable, under exam conditions, to express themselves as they normally would. The marks of the PPs may also vary.” PP16, female aged 60-69
“Uniformity of PP attitudes, standards and life experiences cannot be guaranteed or regulated” PP27, male aged 70-79
“I suppose we all “mark” differently (some meaner than others)” PP34, female aged 60-69
“PP scores are ‘subjective’ compared with medical knowledge so there can be variation in scores given by different PPs. This could affect certain groups of patients. Any previous ‘disagreements’ or even ‘clash of personalities’ between a PP and a student that appeared during training could upset the candidate if they met In the OSCES - this could affect marks given.” PP39, female aged 70-79