Quality Action Assurance: Multimodal Verification of Examiner Claims in VR OSCEs

תקציר מקורי באנגליתarXiv:2607.19063v2 Announce Type: replace Abstract: Objective Structured Clinical Examinations (OSCEs) are the gold standard for assessing clinical competence, yet scoring remains vulnerable to examiner subjectivity, fatigue, and cognitive bias. Standard examiner validation via inter-rater statistics lacks explanatory power regarding the source of errors, as it neither analyzes examiner reasoning nor verifies examiner claims against actual events. Thus, we introduce Quality Action Assurance (QAA), a multimodal framework that verifies examiner claims in Virtual Reality (VR) pediatric OSCEs by comparing actions claimed by examiners against the true sequence of events, constructed from video, VR logs, and actor data. QAA combines a constrained temporal action alignment model, which performs a