学生对表现的自我反思是否与他们在客观结构化临床考试中的分级表现一致?
Angelina S Lim1, Sunanthiny Krishnan2, George Tan3
1Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Victoria, Australia; Murdoch Childrens Research Institute, Melbourne, Australia.
药学学生对客观结构化临床考试 (OSCE) 的自我反思与他们的实际成绩差异很大. 这种失调在高成绩的学生中最显著,表明需要有针对性的反来提高信心.
科学领域:
- 医学教育 医学教育
- 药房 教育 教育 药房 教育
- 自我反思分析分析的分析.
背景情况:
- 对强项和弱项的自我意识对于终身学习和专业发展至关重要.
- 准确的绩效自我评估对于识别需要改进的领域至关重要.
研究的目的:
- 评估三年级本科药学学生的自我反思与客观结构化临床考试 (OSCE) 成绩之间的一致性.
- 确定学生在自我反思中关注的共同主题,作为绩效指标.
主要方法:
- 学生 (n=269) 完成了三个站的OSCE和书面的自我反思.
- 通过潜在模式内容分析分析反射,将表现分类为"表现良好 (≥50%) "或"表现不佳 (<50%) ".
- 自我反射类别与实际的欧安组织分数进行了比较,以确定对齐.
主要成果:
- 在学生的自我反思和他们实际的欧安组织表现之间观察到较低程度的对齐.
- 这种失调在高成绩的学生中尤为明显,他们在欧安组织上得分≥90%.
- 共同的反思点包括时间管理和沟通;高成绩者还注意到同情心,系统性质疑和患者反教.
结论:
- 学生对欧安组织绩效的自我反思并不准确地反映他们的实际成绩,特别是对于高成绩者.
- 高成绩的学生表现出对绩效因素的更大认识,但可能缺乏信心.
- 教师应该实施有针对性的反和保证,以提高高成绩者对决策技能的信心.
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