Repeated teaching courses of the modified Rodnan skin score in systemic sclerosis

Clin Exp Rheumatol. 2010 Mar-Apr;28(2 Suppl 58):S37-41. Epub 2010 Jun 10.


Objectives: To evaluate the efficacy of a repeated teaching process of the modified Rodnan skin score (MRSS) in systemic sclerosis (SSc). The question is whether a repeated teaching course is required to maintain good results after a first, successful teaching process.

Methods: Two consecutive teaching courses were organised by two Romanian EUSTAR centres for the same rheumatologists, to evaluate and compare the inter-observer variability. Coefficients of variation, the intra-class correlation coefficients (ICC) and the within patient standard deviations were calculated.

Results: The ICC showed good agreement between 12 participants of both the first teaching course (0.639) and of the course seven months later (0.684).

Conclusions: For rheumatologists, a good ICC that is close to 0.7 can be achieved, and these results remain stable without the need for another, repeated teaching cycle. The high inter-rater variations seen in some patients demand that, in clinical studies, the same investigator should assess the same patient at each visit.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Computer-Assisted Instruction*
  • Education, Medical, Continuing / methods*
  • Humans
  • Reproducibility of Results
  • Rheumatology / education*
  • Scleroderma, Systemic / pathology*
  • Skin / pathology*
  • Teaching*