医学院多样性审计 考试问题 医学院考试问题
Brahmaputra Marjadi1,2, Neville Chiavaroli3, Olanrewaju Sorinola4
1School of Medicine, Western Sydney University, Campbelltown, Australia.
Teaching and learning in medicine
|August 9, 2023
概括
医学院的考试很少显示患者的多样性超越年龄和性别. 提高问题中的代表性对于真正的医学教育和教学多样性至关重要.
科学领域:
- 医学教育研究 医学教育研究
- 卫生公平研究 卫生公平研究
- 卫生社会学 卫生社会学
背景情况:
- 医学院的考试是关键的评估工具.
- 在这些评估中,患者多样性的研究不足.
- 当前的课程越来越强调文化能力和健康的社会决定因素.
研究的目的:
- 审计医学院考试问题中对人口,社会和经济多样性的描述.
- 评估不同患者特征的表现,而不仅仅是年龄和性别.
- 为改善医学教育评估提供信息,以反映患者的多样性.
主要方法:
- 2018年,从两个大陆的三所医学院进行了对3566个临床前和临床的多选项和简短答案问题的系统审计.
- 分析扩展了关键种族理论的原则,包括健康的社会决定因素.
- 在检查问题中提出的患者特征的分类.
主要成果:
- 患者在43.1%的问题中被描述为患者.
- 年龄 (89.4%) 和二元性别 (93.9%) 是常见的.
- 其他多样性方面,如种族 (7.2%),社会经济地位 (0.5%),性认同 (1.1%) 和残疾 (0.1%),很少包括在内,非二进制性别,居住状态和宗教/精神缺席.
结论:
- 医学考试中对患者多样性的有限描绘可能会阻碍真实性和医学多样性的教学.
- 医学院应该定期进行审计,并在考试问题中加强患者的多样性.
- 改善代表性支持有效的教学和学习关于多样化的患者群体.
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