不公平是织成的织物:在儿科住院培训评估的话语分析
Hannah L Anderson1,2, Layla Abdulla3, Dorene F Balmer4
1Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, USA. andersonhl@chop.edu.
评估中的内在不公平,评估工具中的歧视形式,可能不是一个偏差,而是评估系统的固有特征. 这项研究研究了居住培训政策,以了解这一现象.
科学领域:
- 医学教育 医学教育
- 医疗保健 职业 教育 研究 研究 研究
- 医学中的社会科学.
背景情况:
- 评估中的内在不平等是指嵌入评估工具和系统中的歧视.
- 了解其在住院培训中的作用对于公平评估至关重要.
- 一般儿科作为一个案例研究来分析这些问题.
研究的目的:
- 调查在住院培训中的评估系统内存在的内在不公平.
- 通过特定的话语镜头分析评估政策和程序.
- 确定这些政策是如何概念化和解决评估不平等的.
主要方法:
- 福卡尔德式话语分析 (FDA) 应用于评估政策和程序文件.
- 多位作者独立分析了文件和笔记,随后进行了代讨论.
- 为了解释演讲,提取了真实陈述和反复出现的主题 (子主题).
主要成果:
- 两个主要的真理陈述出现了:"良好的评估是公平的评估"和"每个人都对不公平负责".
- 这些陈述最初将不平等视为个人层面的偏差.
- 更深入的分析表明,不公平可能是评估系统的内在特征,而不是偏差.
结论:
- 当前的评估话语可能会掩盖不平等的系统性质.
- 重新思考评估政策是必要的,以解决潜在的固有偏见.
- 承认不平等是一个特征,而不是一个错误,对于公平的健康专业教育至关重要.
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