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Record W1990643818 · doi:10.1097/acm.0000000000000486

More Consensus Than Idiosyncrasy

2014· article· en· W1990643818 on OpenAlexaff
Andrea Gingerich, Cees van der Vleuten, Kevin W. Eva, Glenn Regehr

Bibliographic record

VenueAcademic Medicine · 2014
Typearticle
Languageen
FieldMedicine
TopicInnovations in Medical Education
Canadian institutionsUniversity of Northern British Columbia
Fundersnot available
KeywordsPsychologyInter-rater reliabilityVariance (accounting)Set (abstract data type)Social psychologyAnalysis of varianceStatisticsDevelopmental psychologyMathematicsRating scaleComputer science

Abstract

fetched live from OpenAlex

PURPOSE: Social judgment research suggests that rater unreliability in performance assessments arises from raters' differing inferences about the performer and the underlying reasons for the performance observed. These varying social judgments are not entirely idiosyncratic but, rather, tend to partition into a finite number of distinct subgroups, suggesting some "signal" in the "noise" of interrater variability. The authors investigated the proportion of variance in Mini-CEX ratings attributable to such partitions of raters' social judgments about residents. METHOD: In 2012 and 2013, physicians reviewed video-recorded patient encounters for seven residents, completed a Mini-CEX, and described their social judgments of the residents. Additional participants sorted these descriptions, which were analyzed using latent partition analysis (LPA). The best-fitting set of partitions for each resident served as an independent variable in a one-way ANOVA to determine the proportion of variance explained in Mini-CEX ratings. RESULTS: Forty-eight physicians rated at least one resident (34 assessed all seven). The seven sets of social judgments were sorted by 14 participants. Across residents, 2 to 5 partitions (mode: 4) provided a good LPA fit, suggesting that subgroups of raters were making similar social judgments, while different causal explanations for each resident's performance existed across subgroups. The partitions accounted for 9% to 57% of the variance in Mini-CEX ratings across residents (mean = 32%). CONCLUSIONS: These findings suggest that multiple "signals" do exist within the "noise" of interrater variability in performance-based assessment. It may be valuable to understand and exploit these multiple signals rather than try to eliminate them.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.008
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.141
Threshold uncertainty score0.914

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.008
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.026
GPT teacher head0.365
Teacher spread0.339 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations46
Published2014
Admission routes1
Has abstractyes

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