臨床スキルの評価のための正当な合格基準を確立するための標準設定手順の比較:アンゴフ,ボーダーライングループ,対照群,患者安全方法
Rachel S Tappan1, Megan L Freeland1, Elizabeth E Holland1
1Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
The clinical teacher
|September 4, 2025
まとめ
患者の安全が重要な場合,患者の安全は臨床技能評価の目標と最もよく一致します. この方法は,将来の標準設定の選択にインパクトを与えるため,安全に関連するアイテムに対するより高い性能基準を保証します.
科学分野:
- 医学教育
- 医療専門職教育
- 臨床スキルの評価
背景:
- 標準設定方法は,正確な臨床技能評価のカットスコアを確立するために不可欠です.
- 現在の方法は,選択に関する限られたガイドラインで,さまざまなカットスコアを生成します.
- この研究は4つの異なる標準設定方法論を比較しています.
研究 の 目的:
- 理学療法士の臨床スキルの評価のための4つの標準設定方法の適用と結果を比較する.
- 専門家の能力の概念化,特に患者の安全に関する異なる方法の調整を評価する.
- 臨床技能評価において適切な標準設定方法を選択するための勧告を提供すること.
主な方法:
- Angoff,Patient Safety,Borderline Group,Contrasting Groupsのメソッドを物理療法士の学生の臨床スキルの評価に適用しました
- 取得したカットスコアを適用するために,非識別された歴史的データセット (n=92) を利用した.
- グローバル・コンピテンシー・レーティングの基礎となる構造を調べるために,ポスト・ホック・ロジスティック・リグレッション・アナリストを実施した.
主要な成果:
- カットスコアは65.9% (アンゴフ) から86.1% (ボーダーライングループ) まで大きく変化した.
- 過去のデータセットの合格率は60.9%から98.9%でした.
- ロジスティック回帰では,より高い安全スコアと合格率 (OR=18. 97) の間の強い関連性が見られたが,総スコアは有意ではなかった.
結論:
- 患者の安全に関するメソッドは 専門家の判断に優れていることが示された.
- この方法は,患者の安全が主な懸念事項である臨床技能評価に推奨されます.
- 方法の選択の重要な考慮事項は,合格率の実現可能性と評価の目標構造との一致性です.
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