SHARP (简短的答案,合理的规定):一个新的项目格式来评估临床推理
概括
一个新的SHARP (简短答案,合理规定) 评估格式有效地衡量医学学生证明临床决策的能力. 这种可扩展的,自动化的工具显示了教育评估的可靠性.
科学领域:
- 医学教育研究 医学教育研究
- 评估设计 评估设计
- 临床推理评估评估
背景情况:
- 传统的非工作场所评估往往无法捕捉到关键的问题表现和决策理性技能.
- 评估临床决策正当性的现有方法往往是资源密集的.
研究的目的:
- 开发和评估一个可扩展的,非工作场所的评估格式,以衡量学习者证明临床决策的能力.
- 引入SHARP (简短答案,推理规定) 项目格式来评估临床推理.
主要方法:
- 开发了SHARP (简短答案,合理性规定) 项目格式,整合了基于患者记录的临床决策理由的简短答案问题.
- 进行了一项概念验证研究,对来自20所美国医学院的177名四年级医学学生进行了验证,他们使用了35种SHARP物品.
主要成果:
- 在项目难度方面表现出相当大的变化,平均正确答案率为44%.
- 在SHARP项目集中获得了0.76 (Cronbach α) 的估计可靠性.
- 确认项目评分完全自动化,尽量减少资源需求.
结论:
- SHARP项目格式显示了作为评估临床决策合理性的可扩展和资源高效工具的潜力.
- 计划进行进一步的研究,以收集有效性证据,将SHARP表现与其他考试进行比较,并探索形成性评估应用.
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