医学学生录取的交互能力 - - 是什么让一个"好医生"?
Leonie Fleck1,2, Dorothee Amelung1, Anna Fuchs3
1Medical Faculty, Heidelberg University, Heidelberg, Germany.
概括
交互能力 - 医学医生 (IC-MD) 程序有效地评估医学学生的交互能力,使用模拟的患者接触. 这种新方法有望通过评估关键的医生-病人沟通能力来改善医学院招生.
科学领域:
- 医学教育 医学教育
- 心理测量 心理测量 心理测量
- 医疗保健专业培训 医疗保健专业培训
背景情况:
- 医生与患者的互动显著影响患者的结果和满意度.
- 目前的医学院招生往往缺乏强大的方法来评估基本的交互能力.
- 采用多次微型面试 (Multiple Mini Interviews,简称MMI),但它们的评估框架在理论上是有限的.
研究的目的:
- 为了验证新的"交互能力 - 医疗医生 (IC-MD) "的选择程序.
- 用情感可用性的理论构造来评估IC-MD的可靠性,有效性和公平性.
- 确定IC-MD是否补充了医学生现有的认知选择标准.
主要方法:
- 在IC-MD程序涉及一个MMI电路与五个模拟的患者场景.
- 评级是基于情感可用性的构造.
- 一项验证研究包括70名第一学期的医学学生,数据分析了收/分歧的有效性,可靠性和公平性.
主要成果:
- IC-MD评级与患者满意度 (r=.57) 有很强的相关性,但与情绪智能指标没有相关性,支持收和分歧有效性.
- 发现了令人满意的评价者间可靠性 (ICC=.63) 和概括性 (Eρ2=.64).
- 程序是公平的跨年和性别,与医疗保健经验积极影响表现.
结论:
- IC-MD是评估医疗实践至关重要的交互能力的一个有希望的工具.
- 它可以作为医学学生入学认知评估的宝贵补充.
- 未来的研究应该调查IC-MD对临床性能的预测有效性.
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