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检查清单和基于领域的评级在客观结构化临床检查 (OSCE) 绩效评估中的比较
1Family Medicine and Polyclinics, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Cureus
|July 12, 2023
概括
基于领域的评级补充了家庭医学客观结构化临床检查 (OSCE) 的检查清单分数,提供了更全面的临床能力评估. 结合这两种方法可以提高医学教育的有效性和真实性.
科学领域:
- 医学教育 医学教育
- 临床评估 临床评估
- 家庭医学 家庭医学 家庭医学
背景情况:
- 客观结构化临床检查 (OSCE) 是最后一年的本科家庭医学学生的关键评估工具.
- 传统的检查列表评级是标准的,但全球或基于领域的评级可能更好地表明临床能力.
- 这项研究旨在评估沙特阿拉伯家庭医学职员的基于领域的欧安组织评级.
研究的目的:
- 与检查清单评级相比,检查基于领域的欧安组织评级的实用性和有效性.
- 探索改善欧安组织评估过程的质量.
- 评估不同欧安组织评分方法的相关性和内部一致性.
主要方法:
- 分析三年期末家庭医学欧安组织考试的定量方法.
- 医生检查员对每个学生使用了检查清单分数和基于领域的整体分数.
- 检查清单与基于域的分数的统计比较,包括相关性和内部一致性分析.
主要成果:
- 在所有考试中,在医生检查清单和基于域的分数之间发现了显著的正相关性 (r=0.858,p<0.01).
- 这两种评分方法都显示出良好的内部一致性.
- 研究结果表明,这两种方法都提供了有价值的评估数据.
结论:
- 检查清单和基于领域的欧安组织分数都提供了好处,显示出强烈的相关性和类似的内部一致性.
- 基于领域的评级对于评估"软技能"至关重要,而不是通过检查清单来捕捉.
- 在欧安组织中整合这两种方法可以提高评估的有效性,真实性,并更好地评估临床能力,特别是对于经验丰富的学员.
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