与观察到的能力指标相比,医生自我评估的准确性:系统性审查
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
概括
医生经常难以准确地自我评估自己的医疗能力,特别是那些技能较低或信心很高的人. 这凸显了在职业发展方面需要更多的外部评估.
科学领域:
- 医学教育 医学教育
- 医生能力评估 医生能力评估
- 专业发展专业发展
背景情况:
- 医生的终身学习和能力与自我评估技能息息相关.
- 准确的自我评估对于选择适当的继续医学教育至关重要.
研究的目的:
- 与外部评估相比,评估医生自我评估的准确性.
- 了解自我评价能力和观察到的表现之间的关系.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,CINAHL,PsycINFO等) 的系统文献搜索. 从1966年到2006年,他一直在工作.
- 包括比较医生自我评估与发达国家的外部措施的研究.
- 提取有关研究群体,评估方法和结果的数据.
主要成果:
- 17项研究符合纳入标准,其中20项对自我与外部评估进行了比较.
- 13个比较显示自我评估和外部措施之间几乎没有,没有或相反的关系.
- 最差的自我评估准确性是在技能最低,信心最高的医生中观察到的.
结论:
- 医生通常表现出对准确自我评估的能力有限.
- 当前的专业发展和能力评估过程可能需要更多地强调外部评估方法.
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