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将评估与现实生活实践联系起来 - - 通过神秘购物方法比较基于工作的评估和客观结构化的临床检查

Angelina Lim¹, Sunanthiny Krishnan², Harjit Singh³

¹Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, 3052, Parkville, VIC, Australia. angelina.lim@monash.edu.

Advances in health sciences education : theory and practice

|September 20, 2023

概括

目标结构化临床检查 (OSCE) 和基于工作的评估 (WBA) 显示出显著的绩效差距. 虽然欧安组织为学生做准备,但现实生活中的WBA显示得分较低,突出了临床能力评估中的动机差异.

科学领域:

健康专业教育卫生专业教育
临床能力评估临床能力评估
药房教育教育药房教育

背景情况:

客观结构化临床检查 (OSCE) 和基于工作的评估 (WBA) 是评估临床能力的主要方法.
凯恩的有效性框架指导评估是否欧安组织预测现实世界的表现.
了解影响学生在不同评估环境中的表现的因素至关重要.

研究的目的:

为了比较学生在欧安组织与现实生活中的WBAs的表现,使用相同的临床场景.
确定欧安组织的表现是否准确地反映了实际的临床实践.
在两种评估类型中确定影响学生表现的因素.

主要方法:

一个连续的解释性混合方法研究,比较欧安组织和WBA分数.
第三年药学本科生在社区药房进行了"神秘购物" (WBA).
模拟患者对学生进行评估,使用与欧安组织相同的检查清单,然后进行半结构面试.

主要成果:

世界商业协会得分 (中位数为41.7%) 显著低于欧安组织得分 (中位数为80.9%) (p < 0.001).
学生承认WBA表现较低,但重视欧安组织的准备工作.
欧安组织与世界商业协会的角色差异和自主性影响了学生的动力和表现.

结论:

欧安组织可能无法完全转化为WBAs测量的现实生活绩效.
学生的动机和感知到的自主性在不同的评估环境中显著影响成绩.
需要进一步的研究,以使评估方法与现实世界的临床需求保持一致.

关键词:

凯恩的有效性框架.客观结构化的临床检查药房药房药房药房基于工作的评估.

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