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在外科手术中,基于工作场所的单个问题评估有多可靠?

Rebecca S Gates¹, Andrew E Krumm², Olle Ten Cate³

¹Center for Surgical Training and Research, Department of Surgery, University of Michigan 010-A193, North Campus Research Complex 2800, Plymouth Road Ann Arbor, Michigan 48109; Department of Surgery, Carilion Clinic, 1906 Belleview Ave, Roanoke, VA 24014.

Journal of surgical education

|May 30, 2024

概括

在外科手术中,基于工作场所的评估 (WBA) 显示了低至中等的评价者间可靠性. 经过培训的教师进行多次观察对于准确的实习生绩效评估至关重要.

科学领域:

医学教育医学教育
手术培训评估的评估
提高医疗保健的质量改善医疗保健的质量

背景情况:

基于工作场所的评估 (WBA) 对于评估外科实习生至关重要.
评估者之间的可靠性对于对WBA数据进行一致的解释至关重要.
有证据证明WBA的有效性,但往往缺乏评估者之间的可靠性数据.

研究的目的:

评估一般外科住院使用的各种操作性WBA的互评级可靠性.
确定不同教员对外科实习生的评级的一致性.

主要方法:

九个教师评价者评估了6次整体外科手术的视频.
居民使用SIMPL绩效量表,OPRS量表,10Cate委托监督量表和Zwisch量表进行评分.
使用百分比一致性和类内相关性分析了评价者之间的可靠性.

主要成果:

绝对类内相关系数在所有尺度中从0.33到0.47不等.
这表明评估的WBAs的inter-rater可靠性低至中等.

结论:

单项WBA在外科训练中显示出有限的评价者间可靠性.
评分员培训可以提高对个体观测的可靠性.
一个全面的评估策略需要来自多个评级者的大量观察,以可靠地衡量外科实习生的表现.

关键词:

整体外科的一般手术.评价者之间的可靠性.可靠性的可靠性基于工作场所的评估

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