捕捉医学学生临床技能成绩表现的成长曲线
Jorie M Colbert-Getz1, Katie Lappe1, John Gerstenberger1
1Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.
The clinical teacher
|August 22, 2023
概括
随着时间的推移,医学学生在可信任的专业活动 (EPA) 中表现有所增长. 个性化指导是关键,因为这些必要的临床技能的成长曲线在学生之间有很大差异.
科学领域:
- 医疗教育 医学教育
- 评估框架 评估框架
- 纵向性能分析 纵向性能分析
背景情况:
- 可信任的专业活动 (EPA) 为使用增长曲线评估纵向绩效提供了一个框架.
- 多级建模 (MLM) 可以分析这些增长曲线,以告知课程设计和个性化学习.
- 了解EPA中的学生成长对于验证其作为评估工具的使用至关重要.
研究的目的:
- 为了分析医学学生的成长曲线为7个EPA在两个学年.
- 为了确定内科医生职位轮换的顺序是否影响了EPA的增长.
- 为EPA评估框架提供有效性证据.
主要方法:
- 7个EPA的基于工作场所的评估评级从3个时间点的256名医学学生那里收集.
- 采用多级建模 (MLM) 来捕获EPA增长曲线.
- 研究了内科实习对生长曲线偏差的影响.
主要成果:
- 观察到历史记录,临床推理,诊断,文档和演示EPAs的显著曲线增长.
- 线性增长趋势对于团队工作来说是显著的EPA.
- 学生之间的成长曲线有很大差异,但职工阶段的顺序并不能解释这种差异.
结论:
- 从第三年到第四年增加EPA评级支持EPA在评估中的有效性.
- 学生可以从针对性课程或技能实践中受益,以便在3年级之前进行临床推理和诊断.
- 承认和解决学生个人的成长差异对于有效的指导和技能发展至关重要.
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