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研究生医学教育中的批判性思维:概念映射评估的作用?
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
概括
概念映射评估 (CMA) 在评估住院医生对医疗主题的概念理解方面表现有前途. 虽然CMA分数在教学后有所改善,但它们与标准化考试的相关性很弱,这表明它衡量了不同的认知技能.
科学领域:
- 医学教育研究 医学教育研究
- 医学中的认知科学 医学中的认知科学
- 医生培训评估 医生培训评估
背景情况:
- 现有的工具有限,以评估医生在培训的不断发展的概念框架.
- 概念映射评估 (CMA) 提供了一个可视化学生知识组织的方法.
- 了解概念变化对于开发临床专业知识至关重要.
研究的目的:
- 评估CMA是否反映了住院医生预期的概念框架变化.
- 为了确定得分概念图的可靠性.
- 评估CMA分数与标准培训考试成绩之间的相关性.
主要方法:
- 21名住院医生接受了概念地图培训.
- 参与者创建了关于发作的教学前和教学后概念图.
- 三位独立评分员使用标准化方法对地图进行了评分.
主要成果:
- 概念映射评估得分在教学后显著增加 (P=.03).
- 高龄居民的预指令地图复杂度较高 (P=.01).
- CMA分数与美国儿科委员会培训考试的相关性较弱或不存在.
结论:
- 概念映射评估似乎反映了住院医生的概念框架的预期变化.
- CMA和标准化测试可以评估不同的认知领域.
- 初步证据支持CMA在医学教育评估中的实用性.
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