医学生在线临床推理模拟器的可靠性,有效性和可接受性:一个国际试点
Eduardo Hornos1, Eduardo Pleguezuelos1, Laksha Bala2
1Practicum Foundation, Institute of Applied Research in Health Sciences Education, Madrid, Spain.
Medical teacher
|March 15, 2024
概括
在线模拟Practicum Script有效地提高了医学学生的临床推理和不确定性管理技能. 这项研究证实了其可靠性,有效性和可接受性,用于培训未来的医生.
科学领域:
- 医学教育 医学教育
- 临床推理评估评估
- 基于模拟的学习
背景情况:
- 临床推理对于医疗决策至关重要.
- 现有的评估方法很难有效地评估临床推理和不确定性管理.
- 在线模拟为技能发展提供了潜在的解决方案.
研究的目的:
- 评估Practicum Script的可靠性,有效性和可接受性,这是一个在线模拟程序.
- 用现实生活中的案例来评估它在培养医学学生临床推理技能方面的有效性.
主要方法:
- 一项国际性的多中心试点研究,涉及2457名医学最后一年生.
- 心理测量分析包括可靠性 (克朗巴赫的阿尔法,麦当劳的欧米茄) 和有效性 (CFA,MA) 在1502名学生进行.
- 认知诊断建模 (CDM) 和匿名学生调查评估了可接受性.
主要成果:
- 观察到高可靠性估计与狭窄的置信区间.
- 确认因素分析 (CFA) 支持了拟议的三因素模型.
- 认知诊断建模 (CDM) 显示了良好的测试适合性和分类准确性;学生反显示了高可接受性.
结论:
- 实用脚本表现出强大的心理测量特性,表明它是一个可靠和有效的工具.
- 该计划对医学学生来说是非常可接受的.
- 实用脚本是改善医学教育中的临床推理和不确定性管理的宝贵资源.
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