通过/失败考试成绩对儿科实习的考试成绩的影响
Madison E Kahle1, Kayla M Hamann1, Aliya A Sakher1
1Department of Pediatrics, University of Minnesota Medical School Twin Cities Campus, Minneapolis, MN, USA.
Journal of medical education and curricular development
|November 29, 2023
概括
医学院儿科工作人员考试成绩与通过/失败分级变化后的临床表现没有相关性. 观察到水库考试成绩略有,统计学上显著下降,但其临床意义尚不清楚.
科学领域:
- 医学教育 医学教育
- 儿科 儿科 儿科
- 评估评估的方法
背景情况:
- 职务人员的成绩对于居住申请至关重要.
- 明尼苏达大学医学院在2017年改变了其儿科职员考试 (Aquifer儿科考试) 的分级.
- 考试过渡到通过/失败,以基于临床表现的荣誉.
研究的目的:
- 评估通过/失败分级变化对 Aquifer 考试成绩的影响.
- 评估 Aquifer 考试成绩和临床评估成绩之间的相关性.
- 了解每个评估方法相对于其他方法的有效性.
主要方法:
- 分析了750名医学学生 (2016-2017年和2019-2020年) 的非身份化数据.
- 将个人 Aquifer 考试成绩与个人临床绩效成绩进行比较.
- 使用两个样本的t测试和科恩的d来分析分级过渡前后的差异.
主要成果:
- 在 Aquifer 考试成绩和临床绩效成绩之间没有发现显著的相关性.
- 平均水库考试成绩从变化前的80.02±7.51下降到变化后的77.8±7.42.
- 这种降低在统计学上是显著的 (P < .001),效应大小小 (科恩的d = 0.297).
结论:
- 在 Aquifer 考试成绩和临床表现之间存在缺乏相关性.
- 过渡到通过/失败导致考试成绩略有,但在统计学上显著下降.
- 目前尚不确定这一分数下降是否反映了学生学习的有意义下降.
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