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评估一种新的委托监督评估工具的有用性
Sebastian Dewhirst1, Timothy J Wood2, Warren J Cheung1
1Department of Emergency Medicine, University of Ottawa, Ottawa, Canada.
Medical education
|June 30, 2023
概括
太华紧急事务部的轮班观察工具 (O-EDShOT),一个委托监督尺度,与传统的基于工作的评估 (WBA) 相比,显示出优越的实习生歧视和可靠性. 这种工具需要较少的评估来进行可靠的绩效评估.
科学领域:
- 医学教育 医学教育
- 医疗保健中的评估
- 临床培训评估 临床培训评估
背景情况:
- 基于工作的评估 (WBA) 对于学员的进步至关重要,但往往缺乏歧视力和可靠性.
- 传统的WBA很难区分不同能力的学员.
- 委托监督量表显示出改善WBA性能的希望,但直接比较是有限的.
研究的目的:
- 为了比较太华紧急事务部轮班观察工具 (O-EDShOT) 的性能,这是一个委托监督尺度,与传统的WBA工具相比.
- 评估O-EDShOT在区分学员能力方面的有效性及其可靠性.
- 用O-EDShOT来确定可靠的实习生绩效估计所需的评估数量.
主要方法:
- 采用前/后实施研究设计,将O-EDShOT与传统WBA工具进行比较.
- 在O-EDShOT实施前后的12个月期间收集的评估数据上进行了概括性和二次分析.
- 分析的因素包括培训年,一年内的学员,学员内部的形式和评估员的变化.
主要成果:
- 经过O-EDShOT的测试,得分范围更广,并且随着培训水平的提高,得分增加的幅度更大 (0.32比0.14分/年,p=0.01).
- 与O-EDShOT (59%) 相比,与传统工具 (21%,p<0.001) 相比,与实习生相关的得分变化显著更高.
- 为了达到0.8的可靠性,O-EDShOT需要较少的评估 (27 vs. 51),评估者对得分变化贡献较少 (16% vs. 37%).
结论:
- 在实习生歧视和可靠性方面,O-EDShOT显著优于传统的标准参考WBA.
- 使用O-EDShOT需要较少的评估,以获得可靠的实习生绩效估计.
- 委托监督尺度,如O-EDShOT,在临床环境中提供更有用和可靠的评估.
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