使用MCQ答案确定性来确定自我监测的各个方面如何通过医学课程发展
Mike Tweed1, Robin Willink2, Tim J Wilkinson3
1University of Otago, Wellington, Wellington, New Zealand.
Medical education
|November 7, 2023
概括
医学院的学生 医学院的学生
科学领域:
- 医学教育 医学教育
- 医疗保健的专业发展
- 临床决策评估 临床决策评估
背景情况:
- 对于医疗保健专业人员来说,对临床决策的自我监测至关重要.
- 评估医学学生的自我监测能力可以通过他们的评估答案确定性来实现.
- 这项研究探讨了医学学生自我监测的洞察力,安全性和效率.
研究的目的:
- 引入一种方法来追踪医学学生对临床决策的自我监测.
- 根据多选题 (MCQ) 答案的确定性和正确性来定义和衡量洞察力,安全性和效率.
- 分析这些自我监测方面如何在整个医学课程中演变.
主要方法:
- 医学学生在半年MCQ进度测试中为他们的答案提供了正确的确定性.
- 洞察力被定义为更高的正确性与越来越大的确定性.
- 安全性被定义为具有高确定性正确性的高概率,效率被定义为具有低确定性正确性的低概率.
主要成果:
- 自我监测方面的模式在两个学生队伍中一致.
- 几乎所有的学生在整个课程中都表现出了洞察力.
- 安全结果往往是不确定的,但安全性缺失在课程中期更为常见,而安全性在以后增加. 效率在课程中期普遍存在,但后来下降.
结论:
- 医学学生在培训期间表现出一致的洞察力.
- 学生似乎平衡安全性和效率,这可能反映了从理解积极到消极决策影响的学习进展.
- 这些发现表明,在制定临床判断时,效率和安全之间存在动态相互作用.
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