基于信任的评估的准确性:对计划和患者的影响
C Jessica Dine1, Lisa N Conforti2, Eric S Holmboe3
1is Associate Dean, Evaluation and Assessment, and Associate Professor of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Journal of graduate medical education
|February 2, 2024
概括
教师经常错误地判断居民的表现,赋予错误的信任评级. 这项研究显示,教师评级与实际居民绩效之间的一致性很低,这表明医疗教育需要改进评估方法.
科学领域:
- 医学教育 医学教育
- 医疗保健专业培训 医疗保健专业培训
- 临床能力评估临床能力评估
背景情况:
- 委托监督尺度提供了直观的居民绩效评估.
- 在评估适当的住院护理时,这些尺度的准确性仍然不清楚.
研究的目的:
- 为了确定教师不准确的信任评级的频率.
- 评估委托规模的准确性是否与居民绩效水平有所不同.
主要方法:
- 教师通过使用4分委托-监督等级,对10个视频中的标准化居民进行了评分.
- 概括性 (G) 和决策性 (D) 研究分析了10个案例中的768个评级.
- 对于写作信任分数为2.0的案例,重复分析.
主要成果:
- 在43%的案例中,教师评分与脚本成绩有所不同,大多数错误都高估了监督需求.
- 概括性研究表明,由于案件而不是评级者,存在显著差异.
- 决策研究建议3个评级者观察10个案例进行可靠的评估.
结论:
- 教师倾向于低估居民对监督的需求.
- 教师评级和脚本表现水平之间的总体一致性很低.
- 当前的委托监督规模可能无法可靠地反映居民的能力.
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