Student Detection of Errors in Examinations
Student Detection of Errors in Examinations
examinations
Dr Christopher Hebbes ([email protected])
Dr Jenny Briggs
Dr Emmanuel Davidson
Dr Ricky Bell
Dr Heather Crick
Introduction
• 10% of the UK medical student population
struggle to pass exams
• Multiple reasons
• Implications for patient safety
Yates J, James D. Risk factors at medical school for subsequent professional misconduct: multicentre
retrospective case-control study. BMJ 2010;340:c2040
Self assessment
• Self assessment often inaccurate
•
Score = True score + Error component
•
• Why?
• Do students give the same error attribution
as their tutors?
•
I. Colthart, et al. (2008). `The effectiveness of self-assessment on the identification of learner needs, learner
activity, and impact on clinical practice: BEME Guide no. 10'. Medical Teacher 30(2):124-145.
Aims
• Establish a taxonomy of common types of
errors
• Determine ability to detect “gold standard
errors”
• Encourage reflection in learners
• Student engagement in assessment
Methods
• Pilot study SAQ Exam
• 67 students included
of 84
Self-marked Tutor-marked
– Failed one or both
semester exams
• Student consent
Errors coded Errors coded
• Mock exam
– 10 SAQ questions
Standardised
Comparison coding sheet
Errors (overall)
False Negative
N Y
Tutor mark = max mark? Student mark = max mark?
N
Y True Positive
N
Student mark = max mark False Positive
Tutor
Y Error No Error
True Negative Student
Error
True PositiveFalse Positive
No Error
False Negative
True Negative
Errors (specific)
An error has occurred
YTrue Positive
Student code = X*
NFalse Negative
Y
N
Tutor mark = max mark? Tutor code = X*
Y N
YFalse Positive
Exclude Student code = X*
N
True Negative
*Instances where full marks were not achieved for a part of a question
Error Type Detection
Comparison of tutor and student error attribution
Sensitivity Specificity
A 0.016 0.919
B 0.012 0.908
C 0.166 0.723
D 0.032 0.837
Summary
• Students are able to identify errors with
high sensitivity
• There is a difference in error attribution
between students and their tutors
Future work
• Is there a difference in error attribution
between first, second and third year
students?
• What factors are associated with
correlation between student and tutor
error attribution?
• Do interventions to help students attribute
errors improve correlation and improve
academic performance?
Acknowledgements
• Professor Stewart Petersen, Professor of Medical
Education, University of Leicester
• Dr Heather Crick, Lecturer, University of Leicester
• Dr Gordon French, Deputy Postgraduate Dean,
East Midlands Healthcare Workforce Deanery
• Dr Adrian Hastings, Senior Clinical Educator,
University of Leicester
• Dr David Matheson, Lecturer in Medical
Education, Medical Education unit, University of
Nottingham & East Midlands Healthcare
Workforce Deanery
http :// tinyurl . com / hebbes
?
References