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Assessment of non-clinical attributes in paramedicine using multiple mini-interviews
Open accessAbstract
Background: Non-clinical attributes are increasingly emphasised as an important factor in paramedic practice. However, the assessment of these attributes often lacks the evidence base to support it. Exploring the relationship between non-clinical attributes and clinical skills is also of theoretical and practical importance. Objective: To first seek evidence of reliability and validity for the assessment of non-clinical attributes using the multiple mini-interview (MMI) in paramedic contexts and second, to explore the association between non-clinical attributes and clinical skills in paramedicine. Methods: Entry to practice level paramedic candidates completed a 10-station MMI to assess non-clinical attributes on day 1 and a 10-station simulation-based assessment (SBA) of clinical skills on day 2. Both were assessed using different global rating scales. Our primary outcomes included MMI inter-station reliability (calculated using generalisability theory) and Pearson's correlation between non-clinical attributes and clinically focused skills. Results: 30 trainees completed the MMI and 26 of the 30 completed the SBA. Inter-station reliability for the MMI reached 0.77. Pearson's correlations (disattenuated correlations in parentheses) between the overall MMI score and mean SBA global rating scores reached r=0.31 (r=0.48) and ranged by dimension from r=−0.11 (−0.17) (procedural skills) to r=0.54(r=0.83) (communication). Conclusions: The MMI demonstrated evidence of reliability and validity for the assessment of non-clinical attributes in paramedic contexts. Non-clinical attributes and paramedic clinical skills are likely distinct but related constructs, each contributing to the construct of paramedic practice. Programmes of assessment should include both to ensure the construct of paramedic practice is adequately represented.
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In Tavares & Mausz (2013), inter-station reliability for the MMI reached 0.77.
“Inter-station reliability for the MMI reached 0.77”
From Multiple Mini Interview as an admission tool in higher education: Insights from a systematic review (2019) · cites this paper as Tavares W. and Mausz J., (44) 2013
In Tavares & Mausz (2013), Pearson's correlations between overall MMI score and mean Simulation-Based Assessment global rating scores reached r=0.31 (r=0.48) and ranged by dimension from r=−0.11 (−0.17) for procedural skills to r=0.54 (r=0.83) for communication.
“Pearson's correlations between the overall MMI score and mean Simulation-Based Assessment (SBA) global rating scores reached r = 0.31 (r = 0.48) and ranged by dimension from r = −0.11 (−0.17) (procedural skills) to r = 0.54 (r = 0.83) (communication)”
From Multiple Mini Interview as an admission tool in higher education: Insights from a systematic review (2019) · cites this paper as Tavares W. and Mausz J., (44) 2013
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Multiple Mini Interview as an admission tool in higher education: Insights from a systematic review
Yusoff, M. S. B. (2019) · Journal of Taibah University Medical Sciences · doi:10.1016/j.jtumed.2019.03.006 · Cited by 57
“, (29) 2011 Pilot Study design** St George’s University of London, UK Undergraduate streams for medicine N 1⁄4 47 candidates”
Background
Metadata
- Authors
- Tavares, W., & Mausz, J.
- Affiliations
- University of Toronto (CA)
- Centennial College (CA)
- Corresponding author
- Tavares, Walter
- Venue
- Emergency Medicine Journal
- Publisher
- BMJ
- Published
- 2013-09-27
- Volume
- 32
- Issue
- 1
- Pages
- 70-75
- ISSN
- 1351-0622 (ISSN-L)
- 1472-0205
- 1472-0213
- OpenAlex
- W2123692198
- Cited by
- 20
- References
- 21
- Citations by year
- 2026: 1 · 2024: 1 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 1
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Emergency Medicine Journal (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Social Sciences › Education › Medical Education and Admissions
- Social Sciences › Education › Innovations in Medical Education
- Social Sciences › Education › Simulation-Based Education in Healthcare
- Keywords
- paramedic education, multiple mini-interviews, clinical skills assessment, simulation-based assessment, validity, communication skills, procedural skills, global rating scale
- MeSH terms
- Adult, Allied Health Personnel, Educational Measurement, Female, Humans, Interviews as Topic, Male, Professional Competence, Psychometrics, Surveys and Questionnaires, Reproducibility of Results
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