The Evaluation and Analysis of the Clinical Competence of the Medical Students: Using Multivariate Generalizability Theory in Clinical Skill Assessment of Inter nal Medicine in 7-year Medical Students before Graduated

To accurately assess the clinical skill of medical students, we analyz ed clinical skill tests of internal medicine in 23 7-year medical students befor e they would graduated from medical school by using a new educational measuremen t theory-multivariate generalizability theory. The results show that the dependa bility index calculated for this test from generalizability study was 0.63725. I t suggested that the reliability of this test was high. The score of one student can reflect his clinical skill. Furthermore, we also could conclude that change the condition of each facets(item or rater) should obtain different dependabili ty index by the decision study. So we can improve our test reliability such as c hange the content of test according the result of D-study. Conclusion: multiple generalizability theory is very useful tool to assess the clinical skill of 7-ye ar medical students.