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Medical interview score data from PostCC-OSCE and programs for an extended many-facet IRT model

Cite this dataset

Uto, Masaki; Tsuruta, Jun; Araki, Kouji; Ueno, Maomi (2024). Medical interview score data from PostCC-OSCE and programs for an extended many-facet IRT model [Dataset]. Dryad. https://doi.org/10.5061/dryad.tmpg4f56q

Abstract

Objective structured clinical examinations (OSCEs) are widely used performance assessments for medical and dental students. A common limitation of OSCEs is that the evaluation results depend on the characteristics of raters and the scoring rubric. To overcome this limitation, item response theory (IRT) models such as the many-facet models have been proposed to estimate examinee abilities while accounting for the characteristics of raters and evaluation items in a rubric. However, conventional IRT models have two impractical assumptions: constant rater severity across all evaluation items in a rubric and an equal interval rating scale among evaluation items, which can decrease model fitting and ability measurement accuracy.

To resolve this problem, we propose a new IRT model that relaxes these assumptions. We demonstrate the effectiveness of the proposed model by applying it to actual data collected from a medical interview test conducted at Tokyo Medical and Dental University as part of a post-clinical clerkship (PostCC) OSCE. The experimental results showed that the proposed model fit our OSCE data well and measured ability accurately. Furthermore, it provided abundant information on rater and item characteristics that conventional models cannot, helping us to better understand rater and item properties.

This dataset includes the actual score data collected from the above-mentioned medical interview test in a PostCC OSCE, as well as the program for estimating the parameters of the proposed IRT model.

README: Medical Interview Score Data from PostCC-OSCE and Programs for an Extended Many-Facet IRT Model

https://doi.org/10.5061/dryad.tmpg4f56q

This dataset includes the actual score data collected from a medical interview test conducted at Tokyo Medical and Dental University as part of a PostCC OSCE, as well as the program for estimating parameters of the new item response theory model.

Structure of data and related programs:

This dataset includes the following data:

  • dat.csv: The actual OSCE score data.

It also includes the following related programs:

  • main.R: The main program to estimate the proposed IRT model parameters.
  • model.stan: The Stan code for the parameter estimation of the proposed model.

Description of the data

This is the actual score data collected from a medical interview test. The data consist of rating scores assigned by five raters to 30 videos recorded as material for reconfirmation of medical interview tests for sixth-year dental students. Of the five raters, two each evaluated all 30 examinees, while the remaining three each evaluated 10 different examinees. The raters performed their evaluations independently, without communicating or consulting with one another. The 30 evaluation items on a scoring rubric were scored on a 4-point scale (4: excellent; 3: good; 2: acceptable; 1: unsatisfactory).

  • The first column of the dat.csv file represents the index of the rubric's evaluation items, starting from 1.
  • The second column represents the index of raters, starting from 1.
  • The third column to the last column represents the examinees' responses. Each response must be a continuous integer value starting from 0. The empty cells represent missing data.

Related programs and usage notes

The following two main codes are included. Note that to run these codes, R and RStan environments are required. Furthermore, they must be located at the same folder level as the dat.csv file.

  • model.stan: The Stan code for the parameter estimation of the proposed model.
  • main.R: The main program to estimate the proposed IRT model parameters through the Markov chain Monte Carlo algorithm.

To estimate the parameters from dat.csv, simply run the entire code in the main.R file. The parameter estimates will be stored in the variables "alpha_r", "alpha_i", "beta_ir", "beta_ik", "d_rk", and "theta". The variable "alpha_r" represents the consistency of the r-th rater, "alpha_i" represents the discrimination power of the i-th item, "beta_ir" represents the rater-item interaction parameter that indicates the severity of rater r on item i, "beta_ik" represents the item-specific step-difficulty parameter that represents the difficulty of transition between scores k-1 and k for item i, "d_rk" represents the rater-specific step-difficulty parameter denoting the severity of rater r of transition from score k-1 to k, and "theta" represents the latent ability of examinee j.

To apply our model to another dataset, please create a dataset with the same structure as dat.csv and update the file name specified in line 6 of main.R, as well as the number of examinees, raters, and rubric items specified in line 8. "K" in line 8 refers to the number of score categories.

Funding

Japan Society for the Promotion of Science, Award: 19H05663