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开发和评估一个新的知识评估工具,用于儿科紧急医疗职员实习

Xian Zhao^1,2, Aneka Khilnani³, Debra L Weiner⁴

¹Division of Emergency Medicine Children's National Hospital Washington DC USA.

AEM education and training

|March 21, 2024

概括

一个新的多选项检查 (MCE) 可靠地评估医学生的儿科急诊医学 (PEM) 知识. 该MCE显示了有效性证据,与临床评估相关,但不是书面笔记.

科学领域:

医学教育医学教育
紧急医疗紧急医疗
评估和评价的评估和评估.

背景情况:

评估医学知识的保留和应用对于学生的发展至关重要.
需要一个标准化的工具来评估医学学生对儿科急诊医学 (PEM) 的理解.

研究的目的:

为了建立一个新的多选择性考试 (MCE) 的有效性证据,该考试是为PEM职位设计的.
评估MCE在评估四年级学生医学知识方面的有效性.

主要方法:

根据PEM课程指导方针制定了一个110项MCE.
内容,响应过程,内部结构和标准有效性均使用Messick的框架进行了评估.
从2020年5月到2023年4月,MCE在四个机构的158名四年级医学学生中进行了管理.

主要成果:

修订后的MCE显示得分分布正常,平均得分为77.3% (SD 5.7%) 在AY21-AY23.
项目歧视分析显示,对修订后的问题的评分各不相同,其中36.4%被评为优秀或好.
在MCE分数和临床评估之间发现了积极的相关性,但与临床笔记分数或病例会议演示没有相关性.

结论:

新的PEM职员考试是医疗知识的可靠衡量标准.
进一步的研究应该探索MCE使用及其在国家层面实施的后果.

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