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医学研究生教育の批判的思考:コンセプトマッピング評価の役割?
D C West1, J R Pomeroy, J K Park
1Department of Pediatrics, University of California, Davis, 2516 Stockton Blvd, Sacramento, CA 95817, USA. dcwest@ucdavis.edu
JAMA
|September 7, 2000
まとめ
コンセプトマッピングアセスメント (CMA) は,医学トピックに関する住居医師の概念的理解を評価する有望なことを示しています. CMAのスコアは指導後に改善したが,標準化された試験との相関性は弱かったため,異なる認知能力を測定することを示唆している.
科学分野:
- 医学教育研究 医学教育研究
- 医学における認知科学
- 医者の研修評価について
背景:
- 訓練中の医師の進化する概念的枠組みを評価するために,限られたツールが存在します.
- コンセプトマッピングアセスメント (CMA) は,学生の知識組織を視覚化するための方法を提供します.
- 概念的な変化を理解することは,臨床専門知識の開発に不可欠です.
研究 の 目的:
- CMAが,入院医における期待される概念的枠組みの変化を反映しているかどうかを評価する.
- スコアリングコンセプトマップの信頼性を判断する.
- CMAのスコアと,トレーニング中の標準試験の結果との相関性を評価する.
主な方法:
- 21人の入院医がコンセプトマップのトレーニングを受けました.
- 参加者は,発作に関する指示前のおよび指示後のコンセプトマップを作成しました.
- 3人の独立した評価者が,標準化された方法を使用して地図にスコアを付けました.
主要な成果:
- コンセプトマッピングの評価スコアは,指導後に著しく上昇した (P=.03).
- シニアレジデントは,指導前のマップの複雑性が高かった (P=.01).
- CMAのスコアは,アメリカ小児医学会 (American Board of Pediatrics In-training Examination) の試験と相関が薄いか全くないことを示した.
結論:
- コンセプトマッピングの評価は,入院医の概念的枠組みの期待される変化を反映しているようです.
- CMAと標準化されたテストは,異なる認知領域を評価することができます.
- 予備的な証拠は,医学教育評価におけるCMAの有用性を支持しています.
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