医者の自己評価の正確さは,観察された能力の尺度と比較して:体系的なレビュー
David A Davis1, Paul E Mazmanian, Michael Fordis
1Knowledge Translation Program of the Li Ka Shing Knowledge Institute at St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
JAMA
|September 7, 2006
まとめ
医者はしばしば,自分の医療能力の正確な自己評価に苦労し,特にスキルが低く,自信が高い医者は苦戦する. これは,職業開発におけるより多くの外部評価の必要性を強調しています.
科学分野:
- 医療教育 医療教育について
- 医者の能力評価について
- プロフェッショナル・デベロッパメント
背景:
- 医者の生涯学習と能力は,自己評価のスキルと結びついています.
- 適切な継続医療教育を選択するには,正確な自己評価が不可欠です.
研究 の 目的:
- 外部評価と比較した医師の自己評価の正確さを評価する.
- 自己評価された能力と観察されたパフォーマンスとの関係を理解する.
主な方法:
- 複数のデータベース (MEDLINE,EMBASE,CINAHL,PsycINFOなど) の体系的な文献検索を行っています. 1966年から2006年までの期間.
- 医者の自己評価を先進国の外部測定値と比較した研究を含めた.
- 研究集団,評価方法,および結果に関するデータの抽出.
主要な成果:
- 17件の研究では,自己評価と外部評価を比較した20件の試験で,入場基準を満たした.
- 13件の比較では,自己評価と外部評価の関係がほとんどないか,存在しないか,あるいは逆の関係があることが示された.
- 自己評価の精度が最も低いのは,最低のスキルと最も高い自信を持つ医師の間で観察されました.
結論:
- 医師は一般的に,正確な自己評価の能力が限られていることを示しています.
- 現在のプロフェッショナル・デベロップメントと能力評価プロセスは,外部評価方法に重点を置く必要があるかもしれません.
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