Ambulatory Pediatrics
Volume 4, Issue 1 , Pages 13-17 , January 2004

Latent Class Analysis: An Illustrative Application for Education in the Assessment of Resident Otoscopic Skills

  • Daniel K. Benjamin Jr., MD, MPH, PhD

      Affiliations

    • From the Duke University Medical Center Department of Pediatrics (Dr Benjamin), Duke Clinical Research Institute (Drs Benjamin, DeLong, and Steinbach), and Duke University Mycology Research Unit (Dr Steinbach), Durham, NC
    • Corresponding Author InformationAddress correspondence to Daniel Kelly Benjamin Jr, MD, MPH, PhD, Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715
    • ,
  • Elizabeth DeLong, PhD

      Affiliations

    • From the Duke University Medical Center Department of Pediatrics (Dr Benjamin), Duke Clinical Research Institute (Drs Benjamin, DeLong, and Steinbach), and Duke University Mycology Research Unit (Dr Steinbach), Durham, NC
    • ,
  • William J. Steinbach, MD

      Affiliations

    • From the Duke University Medical Center Department of Pediatrics (Dr Benjamin), Duke Clinical Research Institute (Drs Benjamin, DeLong, and Steinbach), and Duke University Mycology Research Unit (Dr Steinbach), Durham, NC

Received 16 December 2002 ,Accepted 9 October 2003.

REFERENCES 

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  2. Steinbach WJ , Sectish TC . Pediatric resident training in the diagnosis and treatment of acute otitis media . Pediatrics . 2002;109:404–408
  3. Steinbach WJ , Sectish TC , Benjamin DK , et al.   Pediatric residents' clinical diagnostic accuracy of otitis media . Pediatrics . 2002;109:993–998
  4. Land SJR , Koch GG . The measurement of observer agreement for categorical data . Biometrics . 1977;33:159–174
  5. Finitzo T , Friel-Patti S , Chinn K , Brown O . Tympanometry and otoscopy prior to myringotomy: issues in diagnosis of otitis media . Int J Pediatr Otorhinolaryngol . 1992;24:101–110
  6. Kaleida PH , Stool SE . Assessment of otoscopists' accuracy regarding middle-ear effusion. Otoscopic validation . Am J Dis Child . 1992;146:433–435
  7. Walter SD , Irwig LM . Estimation of test error rates, disease prevalence and relative risk from misclassified data: a review . J Clin Epidemiol . 1988;41:923–937
  8. Jerger J . Clinical experience with impedance tympanometry . Arch Otolaryngol . 1970;92:311–324
  9. Koivunen P , Uhari M , Laitakari K , et al.   Otoacoustic emissions and tympanometry in children with otitis media . Ear Hear . 2000;21:212–217
  10. Sheps SB , Schechter MT . The assessment of diagnostic tests . JAMA . 1984;252:2418–2422
  11. Hui SL , Walter SD . Estimating the error rates of diagnostic tests . Biometrics . 1980;36:167–171
  12. Staquet M , Rozencweig M , Lee JY , Muggia FM . Methodology for the assessment of new dichotomous tests . J Chronic Dis . 1981;34:599–620
  13. Wormald PJ , Browning GG , Robinson K . Is otoscopy reliable? A structured teaching method to improve otoscopic accuracy in trainees . Clin Otolaryngol . 1995;20:63–67
  14. Mahoney WJ , Szatmari P , MacLean JE , et al.   Reliability and accuracy of differentiating pervasive developmental disorder subtypes . J Am Acad Child Adolesc Psychiatry . 1998;37:278–285
  15. Watters GW , Jones JE , Freeland AP . The predictive value of tympanometry in the diagnosis of middle ear effusion . Clin Otolaryngol . 1997;22:343–345

 Dr Benjamin received support from NICHD grant R03 HD42940.

PII: S1530-1567(05)60262-6

doi: 10.1367/1539-4409(2004)004<0013:LCAAIA>2.0.CO;2

Ambulatory Pediatrics
Volume 4, Issue 1 , Pages 13-17 , January 2004

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