在胃肠道学培训中探索内镜能力:对GAGES,DOPS和ACE评估工具的基于模拟的比较分析
Faisal Wasim Ismail1, Azam Afzal1, Rafia Durrani1
1Aga Khan University Karachi, Sind, Pakistan.
Advances in medical education and practice
|February 5, 2024
概括
程序技能的直接观察 (DOPS) 工具是评估胃肠道学内镜能力最平衡的工具. 这项研究建议DOPS用于标准化培训计划评估.
科学领域:
- 医学教育 医学教育
- 胃肠病学 胃肠病学
- 基于模拟的培训
背景情况:
- 准确的评估工具对于记录胃肠病学培训中的内镜能力至关重要.
- 程序技能的直接观察 (DOPS),胃肠内镜技能的全球评估 (GAGES) 和内镜能力评估 (ACE) 是经过验证的工具.
- 缺乏比较研究阻碍了内镜评估的标准化.
研究的目的:
- 确定用于标准化内镜能力评估的最可靠,最全面,最易于使用的工具.
- 为了比较DOPS,GAGES和ACE的心理测量特性和用户体验.
- 确定胃肠病学培训计划的最佳评估工具.
主要方法:
- 使用高保真模拟器 (Simbionix Gi-bronch-mentor) 的混合方法方法.
- 九名学员被两个教师评估员使用DOPS,GAGES和ACE进行评估.
- 进行了心理测量分析 (克朗巴赫的α,评分器间可靠性) 和教师焦点小组讨论.
主要成果:
- 对于上部肠道内镜,GAGES显示了最高的内部一致性 (0.87),而ACE具有最高的inter-rater可靠性 (0.79).
- 对于结肠镜,DOPS表现出强大的内部一致性 (0.82) 和良好的评分器间可靠性 (0.78).
- 教师反强调了需要具有科学依据,全面和用户友好的工具.
结论:
- 程序技能的直接观察 (DOPS) 工具是最平衡的,在心理测量评估和定性反方面表现良好.
- 建议在胃肠病学培训中使用DOPS进行内镜技能评估.
- 培训计划应使学习成果与评估工具的能力保持一致,以实现最佳实施.
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