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Irradiation of a spin-active nucleus causes an increase or decrease in the signal intensity of neighboring nuclei that are not necessarily chemically bonded or involved in J-coupling.  This phenomenon, called the Nuclear Overhauser Enhancement (NOE), results from through-space interactions between the nuclear spins. The NOE effect decreases with increasing internuclear distance and is generally not observed beyond 4 angstroms. In NOE, dipole-dipole interactions between neighboring...
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在R.I.M.E.E.E.里 原因是:多个站点的欧安组织加强以中和等级通货膨胀.

Michael Rouse1, Jessica R Newman1, Charles Waller2

  • 1Internal Medicine, The University of Kansas School of Medicine, Kansas City, USA.

Medical education online
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概括

加强客观结构化临床检查 (OSCE) 提高了客观评估临床技能的能力. 这一变化减少了年级通货膨胀,并减少了对国家医学检查员科目考试委员会 (NBME-SE) 的依赖,以获得最终的文员等级.

关键词:
欧安组织与欧洲安理会 (OSCE) 的合作.在RIME中,你会发现RIME是什么.评估评估的评估评估的评估.职员的职位是职员的职位.一级通货膨胀的情况.内部医学是内科的专业.

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科学领域:

  • 医学教育 医学教育
  • 临床技能评估 临床技能评估

背景情况:

  • 教师评价从总和分数中被删除,导致了年级通胀.
  • 客观结构化临床检查 (OSCE) 和国家医学检查员主题检查委员会 (NBME-SE) 用于文员级别.
  • 欧安组织内部医学的高学生通过率表明需要提高.

研究的目的:

  • 加强欧安组织对更彻底的客观临床技能评估.
  • 为了抵消医务职位的年级通货膨胀.
  • 减少NBME-SE对最终职务人员成绩的主要影响.

主要方法:

  • 从一个单站转换为一个三站的欧安组织使用记者-口译员-经理-教育工作者 (RIME) 框架.
  • 评估学生的成绩在欧安组织之前和之后的提升.
  • 通过对临床现实主义和难度的调查收集学生反.

主要成果:

  • 经过提升后的欧安组织得分显示出更大的分散和不那么倾斜,更正常的分布.
  • 在欧安组织和文职工作中,取得优秀成绩的学生数量下降.
  • 这一转变减少了NBME-SE在整体文员级别中的相对权重.

结论:

  • 一个结构化,多站式的OSCE提供了临床绩效的现实和客观衡量标准.
  • 欧安组织的加强可以有效地解决年级通货膨胀问题,并改善总结性评估.
  • 学生的反表明,加强的欧安组织是公平和临床相关的.