在欧安组织中评估临床推理:试点测试一项新的口头汇报练习
Alexis Régent1,2, Harish Thampy3, Mini Singh3
1Service de médecine interne, Centre de référence maladies auto-immunes et systémiques rares d'ile de France, APHP-CUP, Hôpital Cochin, F-75014, Paris, France. alexis.regent@aphp.fr.
BMC medical education
|October 3, 2023
概括
一项新的口头简报 (OD) 评估有效地评估医学学生在客观结构化临床检查 (OSCE) 期间的临床推理 (CR) 技能. 这种方法对常规评估CR能力充满希望.
科学领域:
- 医学教育 医学教育
- 临床技能评估 临床技能评估
- 医疗保健专业培训 医疗保健专业培训
背景情况:
- 临床推理 (CR) 对医疗专业人员至关重要,将学习者从新手转变为专家.
- 目标结构化临床检查 (OSCE) 是一种标准的评估工具,但其用于评估CR技能需要进一步探索.
- 本研究引入并试点测试了一种新的站后评估,即口头汇报 (OD),用于本科医学教育中的CR.
研究的目的:
- 为评估临床推理 (CR) 技能开发和试点测试一个后站口头汇报 (OD) 评估工具.
- 在欧安组织框架内评估OD方法的可行性和初始可靠性.
- 收集审查员对OD对CR评估有用性的反.
主要方法:
- 使用修改后的Delphi技术创建了一个标准化,基于域的OD标记标签.
- 十六名欧安组织审查员通过大声思考方法对模拟的OD录音进行了评分,这些录音描绘了不同的能力水平.
- 通过半结构面试收集审查员反,并使用Fleiss Kappa评估评审者之间的可靠性.
主要成果:
- 在OD标题中,在各个领域和全球范围内,OD标题表现出良好的互评级可靠性.
- 审查人员在评估CR时考虑了结构化方法,信息歧视和决定的理由.
- 患者安全风险和检查人员的疾病脚本影响了CR的判断;尽管需要培训,但OD被认为是积极的.
结论:
- 新的后站口头汇报 (OD) 显示了评估医学学生的临床推理 (CR) 能力在欧安组织的承诺.
- 建议进行进一步的研究,以优化在常规医学教育评估中实施OD方法.
- 这项试点研究为完善OD作为临床能力评估中宝贵的工具提供了基础.
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