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临床推理的程序性评估:迎接持续挑战的新机会
Dario Torre1, Michelle Daniel2, Temple Ratcliffe3
1Department of Medical Education, University of Central Florida, Orlando, FL, USA.
Teaching and learning in medicine
|May 25, 2024
概括
评估医生的临床推理是具有挑战性的. 程序性评估,使用多种方法随着时间的推移和反,为评估这种复杂的技能提供了一个有希望的解决方案.
科学领域:
- 医学教育 医学教育
- 医疗保健 职业 教育 教育 专业
- 评估科学 评估科学
背景情况:
- 临床推理是医生能力的基础,但很难评估.
- 传统的评估方法与临床推理的复杂,动态性质作斗争.
- 方案性评估提供了一种系统的方法来应对这些挑战.
研究的目的:
- 探索程序性评估是否适用于评估临床推理.
- 确定与临床推理评估一致的程序性评估的关键原则.
- 为临床推理提出一个程序性评估模型.
主要方法:
- 审查程序性评估原则及其对临床推理的应用.
- 强调纵向性,三角化,混合方法,比例性,指导和学习者代理.
- 一个程序性评估模型的概念开发.
主要成果:
- 程序性评估原则,如纵度和三角化,非常适合临床推理.
- 评估方法的组合为推理提供了全面的观点.
- 辅导和反增强学习和学习者机构.
结论:
- 一个以发展为导向的程序性评估模型可以解决临床推理评估中的挑战.
- 通过反和指导优化学习至关重要.
- 在程序框架内进行有意义的数据三角化可以提高评估的有效性.
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