{"id":"https://openalex.org/W7202269619","doi":"https://doi.org/10.1080/10401334.2026.2717237","title":"\u201cShould We Consider Equity?\u201d A Critical Discourse Analysis of Assessment Experts in an OSCE Design Experiment","display_name":"\u201cShould We Consider Equity?\u201d A Critical Discourse Analysis of Assessment Experts in an OSCE Design Experiment","publication_year":2026,"publication_date":"2026-08-12","ids":{"openalex":"https://openalex.org/W7202269619","doi":"https://doi.org/10.1080/10401334.2026.2717237","pmid":"https://pubmed.ncbi.nlm.nih.gov/42584401"},"language":"en","primary_location":{"id":"doi:10.1080/10401334.2026.2717237","doi":"https://doi.org/10.1080/10401334.2026.2717237","is_oa":false,"landing_page_url":"https://doi.org/10.1080/10401334.2026.2717237","pdf_url":null,"source":{"id":"https://openalex.org/S19371312","display_name":"Teaching and Learning in Medicine","issn_l":"1040-1334","issn":["1040-1334","1532-8015"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Teaching and Learning in Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5017504448","display_name":"Zareen Zaidi","orcid":"https://orcid.org/0000-0003-4328-5766","observed_orcids":["https://orcid.org/0000-0003-4328-5766"]},"institutions":[{"id":"https://openalex.org/I193531525","display_name":"George Washington University","ror":"https://ror.org/00y4zzh67","country_code":"US","type":"education","lineage":["https://openalex.org/I193531525"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Zareen Zaidi","raw_affiliation_strings":["Department of Medicine, George Washington University"],"raw_orcid":"https://orcid.org/0000-0003-4328-5766","affiliations":[{"raw_affiliation_string":"Department of Medicine, George Washington University","institution_ids":["https://openalex.org/I193531525"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073866727","display_name":"Nadine Mbuyi","orcid":"https://orcid.org/0000-0001-9395-4329","observed_orcids":["https://orcid.org/0000-0001-9395-4329"]},"institutions":[{"id":"https://openalex.org/I193531525","display_name":"George Washington University","ror":"https://ror.org/00y4zzh67","country_code":"US","type":"education","lineage":["https://openalex.org/I193531525"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nadine Mbuyi","raw_affiliation_strings":["Department of Medicine, George Washington University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, George Washington University","institution_ids":["https://openalex.org/I193531525"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113361852","display_name":"Ariel Gunn","orcid":"https://orcid.org/0009-0003-9098-927X","observed_orcids":["https://orcid.org/0009-0003-9098-927X"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ariel Gunn","raw_affiliation_strings":["Center for Teaching & Learning Design, Whiting School of Engineering, Johns Hopkins University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Teaching & Learning Design, Whiting School of Engineering, Johns Hopkins University","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100622818","display_name":"Yoon Soo Park","orcid":"https://orcid.org/0000-0001-8583-4335","observed_orcids":["https://orcid.org/0000-0001-8583-4335"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yoon Soo Park","raw_affiliation_strings":["Department of Medical Education, University of Illinois College of Medicine"],"raw_orcid":"https://orcid.org/0000-0001-8583-4335","affiliations":[{"raw_affiliation_string":"Department of Medical Education, University of Illinois College of Medicine","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5009940150","display_name":"Hannah L. Kakara Anderson","orcid":"https://orcid.org/0000-0002-9435-1535","observed_orcids":["https://orcid.org/0000-0002-9435-1535"]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hannah L. Kakara Anderson","raw_affiliation_strings":["Children\u2019s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania"],"raw_orcid":"https://orcid.org/0000-0002-9435-1535","affiliations":[{"raw_affiliation_string":"Children\u2019s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania","institution_ids":["https://openalex.org/I1335321130","https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5017504448"],"corresponding_institution_ids":["https://openalex.org/I193531525"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.4854948,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"1","last_page":"12"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.9824000000953674,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.9824000000953674,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10843","display_name":"Diversity and Career in Medicine","score":0.005100000184029341,"subfield":{"id":"https://openalex.org/subfields/3318","display_name":"Gender Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12194","display_name":"Cultural Competency in Health Care","score":0.0026000000070780516,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/assessment-equity","display_name":"assessment equity","score":0.8519999980926514},{"id":"https://openalex.org/keywords/medical-education-evaluation","display_name":"medical education assessment","score":0.5899999737739563},{"id":"https://openalex.org/keywords/design-justice","display_name":"design justice","score":0.8069999814033508},{"id":"https://openalex.org/keywords/communication-skills-assessment","display_name":"communication skills assessment","score":0.5889999866485596},{"id":"https://openalex.org/keywords/high-stakes-testing","display_name":"high-stakes testing","score":0.593999981880188}],"concepts":[{"id":"https://openalex.org/C9354725","wikidata":"https://www.wikidata.org/wiki/Q286017","display_name":"Operationalization","level":2,"score":0.8101000189781189},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.6309999823570251},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.517300009727478},{"id":"https://openalex.org/C169087156","wikidata":"https://www.wikidata.org/wiki/Q2131593","display_name":"Framing (construction)","level":2,"score":0.4731000065803528},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4634999930858612},{"id":"https://openalex.org/C2780586970","wikidata":"https://www.wikidata.org/wiki/Q1357284","display_name":"Popularity","level":2,"score":0.4056999981403351},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.40299999713897705},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.37619999051094055},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.3727000057697296},{"id":"https://openalex.org/C2779030433","wikidata":"https://www.wikidata.org/wiki/Q1789511","display_name":"Critical discourse analysis","level":4,"score":0.3723999857902527},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.3652999997138977},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.3596000075340271},{"id":"https://openalex.org/C84389358","wikidata":"https://www.wikidata.org/wiki/Q1129466","display_name":"Discourse analysis","level":2,"score":0.3310999870300293},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.3296000063419342},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.30880001187324524},{"id":"https://openalex.org/C2775905979","wikidata":"https://www.wikidata.org/wiki/Q5186753","display_name":"Critical race theory","level":3,"score":0.2976999878883362},{"id":"https://openalex.org/C2778000598","wikidata":"https://www.wikidata.org/wiki/Q11237593","display_name":"Objective structured clinical examination","level":2,"score":0.29660001397132874},{"id":"https://openalex.org/C2779182362","wikidata":"https://www.wikidata.org/wiki/Q17126187","display_name":"Session (web analytics)","level":2,"score":0.2912999987602234},{"id":"https://openalex.org/C3019640506","wikidata":"https://www.wikidata.org/wiki/Q839578","display_name":"Group dynamic","level":2,"score":0.28839999437332153},{"id":"https://openalex.org/C2776696415","wikidata":"https://www.wikidata.org/wiki/Q5341281","display_name":"Educational equity","level":2,"score":0.2863999903202057},{"id":"https://openalex.org/C145420912","wikidata":"https://www.wikidata.org/wiki/Q853077","display_name":"Mathematics education","level":1,"score":0.2653000056743622},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.26409998536109924},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.25839999318122864},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.2578999996185303},{"id":"https://openalex.org/C2778406517","wikidata":"https://www.wikidata.org/wiki/Q4736497","display_name":"Alternative assessment","level":2,"score":0.2556000053882599},{"id":"https://openalex.org/C2777877512","wikidata":"https://www.wikidata.org/wiki/Q1116097","display_name":"Common ground","level":2,"score":0.25540000200271606},{"id":"https://openalex.org/C152747807","wikidata":"https://www.wikidata.org/wiki/Q1854913","display_name":"Summative assessment","level":3,"score":0.25529998540878296}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1080/10401334.2026.2717237","doi":"https://doi.org/10.1080/10401334.2026.2717237","is_oa":false,"landing_page_url":"https://doi.org/10.1080/10401334.2026.2717237","pdf_url":null,"source":{"id":"https://openalex.org/S19371312","display_name":"Teaching and Learning in Medicine","issn_l":"1040-1334","issn":["1040-1334","1532-8015"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Teaching and Learning in Medicine","raw_type":"journal-article"},{"id":"pmid:42584401","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42584401","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Teaching and learning in medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":1.0},{"id":"https://metadata.un.org/sdg/4","display_name":"Quality education","score":0.8278999924659729}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320308489","display_name":"Association of American Medical Colleges","ror":"https://ror.org/04q6cg820"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W2018510698","https://openalex.org/W2102362356","https://openalex.org/W2808747795","https://openalex.org/W2992527386","https://openalex.org/W3082649695","https://openalex.org/W3162240304","https://openalex.org/W3166448995","https://openalex.org/W3187564177","https://openalex.org/W4381715896","https://openalex.org/W4390619136","https://openalex.org/W4396948505","https://openalex.org/W4402555567","https://openalex.org/W4402580609","https://openalex.org/W7116879156"],"related_works":["https://openalex.org/W3082649695","https://openalex.org/W4409273355","https://openalex.org/W4381891815","https://openalex.org/W4408369777","https://openalex.org/W7112894696","https://openalex.org/W4402555567","https://openalex.org/W4366238160","https://openalex.org/W4396948505","https://openalex.org/W4413379647","https://openalex.org/W4366242055"],"abstract_inverted_index":{"Achieving":[0],"equity":[1,28,180,183,191,214,255,279,315,327,354,378],"in":[2,8,200,316,349],"assessment":[3,35,47,71,80,97,144,224,340,351,383,400],"remains":[4],"a":[5,78,149,176,230,257,263],"persistent":[6],"challenge":[7],"medical":[9,108,370],"education.":[10],"While":[11],"research":[12],"has":[13,22,49],"focused":[14],"predominantly":[15],"on":[16,46,142,170,301],"psychometric":[17],"approaches":[18,398],"to":[19,88,196,271,295,376,399],"fairness,":[20],"exploration":[21],"been":[23,50],"limited":[24],"into":[25,70,381],"how":[26,56,350],"racial":[27,44,58,115,133,305],"is":[29,352],"embedded":[30],"at":[31],"foundational":[32,264],"stages":[33],"of":[34,41,60,67,93,96,190,212,223,227,235,254],"development.":[36,401],"In":[37],"particular,":[38],"the":[39,57,65,90,105,163,207,217,221,233,252,317,324],"influence":[40],"test":[42,61,308,325],"developers'":[43],"composition":[45],"design":[48,91,265],"largely":[51],"overlooked.":[52],"This":[53,320],"study":[54,321],"investigated":[55],"makeup":[59],"development":[62],"teams":[63],"impacts":[64],"incorporation":[66],"justice-oriented":[68,79,339],"principles":[69,199],"design.":[72,341],"Guided":[73],"by":[74,114],"critical":[75],"theory":[76],"and":[77,129,166,182,225,241,249,251,285,298,329,346,372],"framework,":[81],"we":[82],"employed":[83],"Foucauldian":[84],"Critical":[85],"Discourse":[86],"Analysis":[87],"examine":[89],"processes":[92],"three":[94],"groups":[95,146,194,268],"developers":[98,309],"(N":[99],"=":[100,121,127,136],"16)":[101],"purposefully":[102],"sampled":[103],"from":[104,206],"US":[106],"academic":[107],"education":[109],"community.":[110],"We":[111,202],"grouped":[112],"participants":[113,293],"identity:":[116],"Group":[117,123,130],"A":[118],"(white-identifying,":[119],"n":[120,126,135],"5),":[122,128],"B":[124],"(non-majority-identifying,":[125],"C":[131],"(mixed":[132],"composition,":[134],"6).":[137],"Following":[138],"an":[139,210],"interactive":[140],"session":[141],"equitable":[143],"principles,":[145,192],"collaboratively":[147],"designed":[148,318],"mock":[150],"OSCE":[151,164],"station":[152],"assessing":[153],"communication":[154],"skills.":[155],"The":[156],"data":[157],"collected":[158],"included":[159],"transcribed":[160],"group":[161,168],"discussions,":[162],"station,":[165],"participant":[167,193],"reflections":[169],"their":[171],"experiences.":[172],"Our":[173],"findings":[174,362],"reveal":[175],"pervasive":[177],"gap":[178],"between":[179],"awareness":[181,328],"action.":[184],"Despite":[185],"demonstrating":[186],"clear":[187],"conceptual":[188],"understanding":[189],"struggled":[195],"operationalize":[197],"these":[198],"practice.":[201],"identified":[203],"four":[204],"themes":[205],"discourse":[208],"analysis:":[209],"absence":[211],"explicit":[213],"discussions":[215],"despite":[216],"study's":[218],"stated":[219],"focus;":[220],"sanitization":[222],"weaponization":[226],"\"culture\"":[228],"as":[229,237,247,256,289,389],"dividing":[231],"practice;":[232],"treatment":[234],"learners":[236],"erased,":[238],"ghostlike":[239],"figures-homogenous":[240],"without":[242,280],"agency-while":[243],"patients":[244],"were":[245],"centered":[246],"diverse":[248,331],"significant;":[250],"framing":[253],"weapon":[258],"or":[259],"curveball":[260],"rather":[261,358],"than":[262,359],"element.":[266],"Participant":[267],"frequently":[269],"defaulted":[270],"traditional":[272],"standardized":[273],"approaches,":[274],"expressing":[275],"discomfort":[276],"about":[277],"incorporating":[278],"introducing":[281],"stereotypes.":[282],"Power":[283],"dynamics":[284],"professional":[286],"norms":[287],"emerged":[288],"significant":[290],"barriers,":[291],"with":[292],"deferring":[294],"clinical":[296],"expertise":[297],"avoiding":[299],"confrontation":[300],"equity-related":[302],"issues.":[303],"Notably,":[304],"diversity":[306],"among":[307],"alone":[310],"did":[311],"not":[312],"substantially":[313],"advance":[314],"assessment.":[319],"underscores":[322],"that":[323,386],"developer's":[326],"racially":[330],"representation,":[332],"while":[333],"necessary,":[334],"are":[335],"insufficient":[336],"for":[337,366,395],"achieving":[338],"Without":[342],"intentional":[343],"structural":[344],"changes":[345],"cultural":[347],"shifts":[348],"conceptualized,":[353],"will":[355],"remain":[356],"peripheral":[357],"foundational.":[360],"These":[361],"offer":[363],"actionable":[364],"insights":[365],"national":[367],"licensing":[368],"bodies,":[369],"schools,":[371],"residency":[373],"programs":[374],"seeking":[375],"embed":[377],"more":[379],"meaningfully":[380],"high-stakes":[382],"practices,":[384],"suggesting":[385],"frameworks":[387],"such":[388],"Design":[390],"Justice":[391],"may":[392],"provide":[393],"pathways":[394],"inclusive,":[396],"community-centered":[397]},"counts_by_year":[],"updated_date":"2026-09-25T08:18:29.962427","created_date":"2026-08-13T00:00:00"}
