临床辅导团队对可信任专业活动评估质量的影响
Simranjeet Singh1, Warren J Cheung2,3, Sebastian Dewhirst2
1University of Ottawa Ottawa Ontario Canada.
AEM education and training
|June 26, 2023
概括
医学教育中的长期指导关系并没有显著提高可信任专业活动 (EPA) 评估的质量. 监督因素,而不是指导,预测评估质量,突出工作场所评估未来研究领域.
科学领域:
- 医学教育 医学教育
- 基于能力的医学教育
- 基于工作场所的评估
背景情况:
- 辅导是基于能力的医学教育中基于工作场所的评估的组成部分.
- 理论上,长度指导关系是为了加强学员-监督员的动态,提高评估质量.
研究的目的:
- 评估长期指导关系对可信任专业活动 (EPA) 评估质量的影响.
主要方法:
- 分析了174个紧急医疗EPA评估,比较了具有和没有纵向指导关系的监督员的评估.
- 医生评级人员使用评估和学习质量 (QuAL) 评分来评估EPA质量.
- 统计分析包括ANOVA和线性回归来比较QuAL得分并评估预测变量.
主要成果:
- 在教练组 (3.63 ± 0.91) 与非教练组 (3.51 ± 1.10) 中,平均QuAL得分略高,但这种差异在统计学上并不显著 (p=0.40).
- 监督者是QuAL得分的重要预测因素 (p=0.012),解释了26%的变化.
- 实习生表现和EPA评估质量之间没有发现显著的相关性.
结论:
- 长期的指导关系并没有显著影响EPA评估的质量.
- 监督员特定的因素似乎对评估质量的影响比指导关系的存在更大.
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