为高风险的客观结构化临床检查 (OSCE) 制定基于能力的标准:有效性证据证据
Ming Lee1, Estebes Hernandez1, Rachel Brook1
1David Geffen School of Medicine at UCLA.
MedEdPublish (2016)
|December 11, 2023
概括
为医疗目标结构化临床检查 (OSCE) 制定基于能力的标准,大大降低了失败率. 这项研究使用修改后的Angoff方法验证了新的通过/失败分数,确保了医疗学员可靠和有效的评估.
科学领域:
- 医学教育 医学教育
- 评估和评价的评估和评估.
- 临床能力 临床能力
背景情况:
- 医学教育工作者需要强大的方法来确认学员的能力.
- 客观结构化临床检查 (OSCE) 对于评估临床技能至关重要.
- 为欧安组织建立适当的通过/失败标准对于进步至关重要.
研究的目的:
- 开发基于能力的通过/失败分数,以满足欧安组织要求的毕业要求.
- 检查支持这些新评估标准的有效性证据.
- 评估修订标准对故障率和补救措施的影响.
主要方法:
- 六名临床医生使用修改后的Angoff方法来建立一个8个站的OSCE切割分数.
- 临床医生估计了最小能力的学生正确回答检查清单项的概率.
- 分析了评审者之间的可靠性,学业成绩差异,教育影响和响应过程.
主要成果:
- 新的切割分数导致故障率明显降低 (5%相比之前的29%).
- 跨领域和案例的评审者间可靠性异常高 (.98).
- 通过/失败组在八个学业成绩指标中的六个指标中显示出显著差异.
结论:
- 经过修改的Angoff方法为欧安组织提供了可靠和有效的基于能力的分数.
- 新的标准大大降低了故障率和相关的修复负担.
- 跨多个指标的强有力的有效性证据支持使用这些修订后的欧安组织标准.
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