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The influence of candidates’ physical attributes on patient ratings in simulated assessments of clinical practice

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Brown, Celia A., Badger, K., Reid, M. D., Westacott, R., Gurnell, M., Reed, M. W. R., Chamberlain, G., Hatfield, E., Sharif, A. and Sam, A. H. (2022) The influence of candidates’ physical attributes on patient ratings in simulated assessments of clinical practice. Medical Teacher, 44 (11). pp. 1277-1282. doi:10.1080/0142159x.2022.2093177 ISSN 0142-159X.

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Official URL: https://doi.org/10.1080/0142159x.2022.2093177

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Abstract

Background:
We have previously shown that clinical examiners’ scoring is not negatively impacted when a candidate has a tattoo, unnatural hair colour, or a regional accent. We investigated whether these physical attributes in exam candidates impact patient scoring.

Methods:
Simulated/real patients were randomly assigned to watch five videos of simulated candidate performances of a cranial nerve examination: clear fail, borderline, good, ‘clear pass’ without an attribute, and ‘clear pass’ with one of the attributes (tattoo, purple hair, accent). Participants scored domains of communication and professionalism. We compared scores for the clear pass candidates with and without attributes.

Results:
One hundred and eighty three patients participated. The total scores for the candidates with tattoos and purple hair were higher than the candidate with no physical attribute (p < 0.001). For the candidate with a Liverpool English accent no difference was identified (p = 0.120).

Conclusions:
The presence of certain physical attributes (tattoos or purple hair) was associated with higher scores given by patients to candidates in a simulated physical examination station.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Medical care -- Great Britain -- Evaluation
Journal or Publication Title: Medical Teacher
Publisher: Taylor & Francis
ISSN: 0142-159X
Official Date: 12 July 2022
Dates:
DateEvent
12 July 2022Published
Volume: 44
Number: 11
Page Range: pp. 1277-1282
DOI: 10.1080/0142159x.2022.2093177
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 11 August 2022
Date of first compliant Open Access: 24 August 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
BRC-1215-20014[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
Applied Research Collaboration (ARC) West Midlands[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
UNSPECIFIEDMedical Schools Council https://www.medschools.ac.uk/

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