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Mclaughlin K et al. - Despite using 11 evaluation items on three tools, the authors identified only three principal components of evaluation. Both our MCQ and OSCE appeared to measure declarative knowledge. The latter may be due to the fact that we use standardized patients without clinical findings-such that evaluations are primarily based upon the demonstration of examination routines. Reasons for the lack of discriminant validity of our ITER include overlapping attributes and constant errors, including a halo effect and an error of leniency.

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