{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T18:36:19Z","timestamp":1777574179114,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2003,6,1]],"date-time":"2003-06-01T00:00:00Z","timestamp":1054425600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eval Health Prof"],"published-print":{"date-parts":[[2003,6]]},"abstract":"<jats:p>This article reports on a study undertaken to validate an assessment tool of medical students' ability to integrate clinical skills and scientific knowledge within the patient encounter. One hundred forty first-year medical students at the State University of New York at Buffalo examined a standardized patient with either acute lower back pain or gastroesophageal reflux disease (GERD). Forty-eight clinical exams were evaluated by two raters to test the interrater reliability of the instrument. Results were promising but mixed. The tool displayed high internal consistency. However, results from a generalizability study indicated that a significant amount of variance in student scores was due to faculty raters. It is recommended that future studies undertake a training workshop for raters and examine different cases in an effort to expand the flexibility of the instrument.<\/jats:p>","DOI":"10.1177\/0163278703026002006","type":"journal-article","created":{"date-parts":[[2003,6,19]],"date-time":"2003-06-19T18:25:37Z","timestamp":1056047137000},"page":"222-233","source":"Crossref","is-referenced-by-count":6,"title":["Toward Validation of an Assessment Tool Designed to Measure Medical Students' Integration of Scientific Knowledge and Clinical Communication Skills"],"prefix":"10.1177","volume":"26","author":[{"given":"Thomas","family":"Hugh Feeley","sequence":"first","affiliation":[{"name":"State University of New York at Buffalo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea T.","family":"Manyon","sequence":"additional","affiliation":[{"name":"State University of New York at Buffalo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy J.","family":"Servoss","sequence":"additional","affiliation":[{"name":"State University of New York at Buffalo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen J.","family":"Panzarella","sequence":"additional","affiliation":[{"name":"State University of New York at Buffalo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,6,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"crossref","unstructured":"Brennan, R. L. (2001). Generalizability theory. New York: Springer-Verlag.","DOI":"10.1007\/978-1-4757-3456-0"},{"key":"atypb2","doi-asserted-by":"crossref","unstructured":"Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 37-46.","DOI":"10.1177\/001316446002000104"},{"key":"atypb3","unstructured":"Crick, J. & Brennan, R. (1983). Manual for GENOVA: A generalized analysis of variance system. Iowa City, IA: ACT, Inc."},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-199810000-00063"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.2.226"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.3109\/01421598809019321"},{"key":"atypb7","doi-asserted-by":"crossref","unstructured":"Harden, R. M. & Gleeson, F. A. (1979). Assessment of clinical competence using an objective structured clinical examination (OSCE). Medical Education, 13, 41-51.","DOI":"10.1111\/j.1365-2923.1979.tb00918.x"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-199602000-00025"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-199605000-00012"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-199809001-00009"},{"key":"atypb11","doi-asserted-by":"crossref","unstructured":"Shavelson, R., Webb, N. & Rowley, G. (1989). Generalizability theory. American Psychologist, 6, 922-932.","DOI":"10.1037\/\/0003-066X.44.6.922"}],"container-title":["Evaluation &amp; the Health Professions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0163278703026002006","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0163278703026002006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:21:47Z","timestamp":1777404107000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0163278703026002006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,6]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,6]]}},"alternative-id":["10.1177\/0163278703026002006"],"URL":"https:\/\/doi.org\/10.1177\/0163278703026002006","relation":{},"ISSN":["0163-2787","1552-3918"],"issn-type":[{"value":"0163-2787","type":"print"},{"value":"1552-3918","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,6]]}}}