实施对高风险客观结构化临床检查的标准制定
James Taylor1, Stacey D Curtis1, Erin St Onge2
1University of Florida College of Pharmacy, 1225 Center Drive, Gainesville, FL 32610, United States of America.
Currents in pharmacy teaching & learning
|April 6, 2024
概括
将客观结构化临床检查 (OSCE) 转变为以标准为参考的标准并没有改变平均分数,但显著增加了补救率. 这凸显了需要仔细实施新的评估方法的需要.
科学领域:
- 医学教育 医学教育
- 评估方法 评估方法
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 高风险的客观结构化临床检查 (OSCEs) 传统上使用标准参考标准.
- 机构正在探索以标准为参考的标准,以实现更客观的绩效评估.
- 本研究涉及欧安组织从标准参考标准过渡到标准参考标准.
研究的目的:
- 描述一个机构在欧安组织从参考标准过渡到参考标准的过程.
- 评估这种标准转变对欧安组织绩效和合格率的影响.
- 评估标准修改后修复需求的变化.
主要方法:
- 在高风险的欧安组织中,采用了修改后的Angoff方法,用于以标准为参考的标准制定.
- 欧安组织编写小组独立审查了检查清单,并确定了通过分数.
- 使用描述性统计数据,比较了成绩,通过率和修复数据的过渡前和过渡后.
主要成果:
- 在过渡到标准参考标准后,欧安组织的平均分数基本没有变化.
- 整治率在多年内显著增加,高达2.6倍.
- 具体数据显示,整治率在第一年从2.8%上升到7.4%,第四年从4.4%上升到9%.
结论:
- 过渡到基于标准的标准设定方法 (修改后的Angoff) 并没有对欧安组织的平均绩效产生负面影响.
- 这一转变导致了需要补救的学生的识别显著增加.
- 这表明,以标准为参考的标准可能提供更敏感的能力差距衡量标准,需要积极支持扎的学生.
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