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衡量重要的事项:确定反映核心外科实习学习的评估
Matthew F Mikulski1,2, Ziv Beckerman1,2, Zachary L Jacques1
1Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX USA.
概括
国家医学检查委员会临床科目考试 (架) 受时间和其他因素的影响,可能会影响外科文职评估中的公平性. 内部考试可能会提供更公平的评估.
科学领域:
- 医学教育 医学教育
- 手术文职人员评估评估
- 医疗教育中的公平.
背景情况:
- 在核心外科实习 (CSC) 中使用了各种评估,但外部因素和偏见可能会影响结果.
- 美国国家医学检查委员会临床科目考试 (Shelf) 被广泛使用,但可能与职工课程或临床学习不一致.
研究的目的:
- 追溯审查医学学生在CSC期间的特点和评估.
- 识别影响不同评估方法的因素,包括架子考试.
- 评估外科医生实习中评估工具的公平性和有效性.
主要方法:
- 从2017年7月到2021年6月,对192个医学学生记录进行了回顾性审查.
- 评估方法的分析:临床绩效评估 (CPA),架子检查,客观结构化临床检查和内部检查 (IHE).
- 统计分析包括描述性,单变量和多变量回归来确定影响因素.
主要成果:
- 书架考试成绩受到学生种族,CSC与内科医学相比的时间以及学术期的影响.
- 在以后的学术术语 (3,5,和6) 中观察到更高的架子分数.
- 实施荣誉的"架子"得分门降低了获得荣誉的几率;年长的学生和血管外科手术的学生获得荣誉的几率更高.
结论:
- 货架考试受到时间因素和时间相对于其他职位的相对影响.
- 与职工课程一致的内部考试 (IHE) 可能会提供更公平的总结评估.
- 减少外部影响和偏见对于在外科文职评估中公平评估至关重要.
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