比较教师和实习生评估者第一年居民技能
Rachel L McCaffrey1, Kyle Cassling1, Mario Davidson2
1Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Journal of surgical education
|January 3, 2024
概括
高级居民可以有效地评估程序技能,表现出与模拟培训中教师评估的同意. 然而,他们对人际关系和沟通技能的评估显示,他们与教师的意见不太一致.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 基于能力的评估.
背景情况:
- 居民培训正在转向基于能力的模式,需要创新的评估方法.
- 教师通常在模拟中评估住院人员的表现,但高级住院人员通常在临床实践中监督第一年住院人员.
- 本研究探讨了资深居民在基于能力的课程中作为评估者的潜在作用.
研究的目的:
- 确定高级居民对第一年居民技能的评估是否与教师评估一致.
- 探索高级居民和教师评估员在评估居民关键能力方面的协议.
- 评估将老年居民纳入基于能力的课程评估过程中的可行性.
主要方法:
- 范德比尔特大学医学中心的一项单一机构研究,涉及麻醉和手术实习生和教师.
- 评估是使用总体评估 (OA) 进行的,用于中央线路配置,知情同意和突破坏消息模拟.
- 使用kappa统计数据分析了教师和高级居民评估员之间的协议.
主要成果:
- 在教师和高级居民评估者之间,对于中央线路安置模拟 (κ = 0.43) 发现了强烈的一致性.
- 在人际交往技巧模拟中,同意不那么重要:知情同意 (κ = 0.08) 和坏消息 (κ = 0.07).
- 教师和高级住院人员在程序技能方面提供了可比得分,但在沟通技能方面差异更大.
结论:
- 在模拟过程中评估程序能力方面,高级住院人员与教师相当.
- 在评估人际关系和沟通技巧时,高级住院人员和教师之间达成的协议较少.
- 在基于能力的医学教育框架内,高级住院医生可以被纳入程序技能的评估者.
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