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从对脑诊断中的临床决策的试点关键特征评估中构建有效性证据:将凯恩的有效性框架应用于实施评估
L M McNamara1, K M Scott2, R N Boyd3
1Specialty of Child and Adolescent Health, Faculty of Medicine, The University of Sydney, Sydney, Australia. lmcn0957@uni.sydney.edu.au.
BMC medical education
|September 14, 2023
概括
这项研究验证了一项关键特征检查,以评估医生对早期脑 (CP) 诊断的决策. 检查显示,作为CP指南教育干预措施的结果指标,它是有前途的.
科学领域:
- 医学教育 医学教育
- 临床实践指南 临床实践指南
- 诊断技能评估 诊断技能评估
背景情况:
- 改善早期脑 (CP) 诊断对于及时干预至关重要.
- 医生决策技能培训是采用CP临床指南的关键.
- 评估实施策略的有效性需要强大的评估工具.
研究的目的:
- 应用凯恩的框架来验证试点关键特征检查,以评估医生在早期CP诊断中的决策.
- 确定使用关键特征得分作为教育干预结果衡量的有效性.
- 探索考试成绩与现实世界医生表现之间的相关性.
主要方法:
- 为诊断CP开发了一种关键特征检查,并与执业医生一起进行试点测试.
- 凯恩的有效性框架被用来评估得分,概括,推断和暗示推断.
- 专家小组和试点数据被用来收集有效性的证据.
主要成果:
- 检查显示了高的内部一致性 (0.82) 和可接受的得分可靠性 (95.2%的一致性).
- 医生接受检查时间是一个问题 (70%),促使过程改进.
- 证据支持了概括,推断和暗示推断,其真实性接受率很高 (90%).
结论:
- 凯恩的框架有效地指导了CP关键特征检查的代开发和验证.
- 有效性论证支持使用考试成绩作为CP指南教育的结果指标.
- 需要进一步的研究来将关键特征得分与现实世界的医生表现相关联.
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