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MEDLINE Metric: A method to assess medical students' MEDLINE search effectiveness

Medical educators advocate the need for medical students to acquire information management skills, including the ability to search the MEDLINE database. There has been no published validated method available to use for assessing medical students' MEDLINE information retrieval skills.

This research proposes and evaluates a method, designed as the MEDLINE Metric, for assessing medical students' search skills. MEDLINE Metric consists of: (a) the development, by experts, of realistic clinical scenarios that include highly constructed search questions designed to test defined search skills; (b) timed tasks (searches) completed by subjects; (c) the evaluation of search results; and (d) instructive feedback. A goal is to offer medical educators a valid, reliable, and feasible way to judge mastery of information searching skill by measuring results (search retrieval) rather than process (search behavior) or cognition (knowledge about searching).

Following a documented procedure for test development, search specialists and medical content experts formulated six clinical search scenarios and questions. One hundred and forty-five subjects completed the six-item test under timed conditions. Subjects represented a wide range of MEDLINE search expertise. One hundred twenty complete cases were used, representing 53 second-year medical students (44%), 47 fourth-year medical students (39%), and 20 medical librarians (17%). Data related to educational level, search training, search experience, confidence in retrieval, difficulty of search, and score were analyzed.

Evidence supporting the validity of the method includes the agreement by experts about the skills and knowledge necessary to successfully retrieve information relevant to a clinical question from the MEDLINE database. Also, the test discriminated among different performance levels. There were statistically significant, positive relationships between test score and level of education, self-reported previous MEDLINE training, and self-reported previous search experience.

The findings from this study suggest that MEDLINE Metric is a valid method for constructing and administering a performance-based test to identify mastery in searching the MEDLINE database. The test's reliability needs to be established.

Identiferoai:union.ndltd.org:unt.edu/info:ark/67531/metadc2526
Date05 1900
CreatorsHannigan, Gale G.
ContributorsCleveland, Ana D., Bramson, Rachel, Cleveland, Donald B., 1935-, Brookshire, William, Wheeless, Lawrence R.
PublisherUniversity of North Texas
Source SetsUniversity of North Texas
LanguageEnglish
Detected LanguageEnglish
TypeThesis or Dissertation
FormatText
RightsPublic, Copyright, Hannigan, Gale G., Copyright is held by the author, unless otherwise noted. All rights reserved.

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