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在评估医疗知识的进展测试中,跨内容领域的可靠性:一项巴西横截面研究,对医学教育评估有影响
Pedro Tadao Hamamoto Filho1, Miriam Hashimoto2, Alba Regina de Abreu Lima2
1Physician, Assistant Professor, Departament of Pediatrics, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu (SP), Brazil.
Sao Paulo medical journal = Revista paulista de medicina
|July 17, 2024
概括
巴西医疗教育评估使用公平的内容划分,但这可能会降低测试可靠性,特别是在内部医学方面. 建议重新评估内容采样,以更好地评估医学知识.
科学领域:
- 医学教育 医学教育
- 评估可靠性评估的可靠性
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 巴西医学院将评估分为五个内容领域:内科,外科,儿科,产科和妇科以及公共卫生.
- 这种划分偏离了国际标准,可能会影响考试的可靠性和有效性.
研究的目的:
- 在连续的,跨机构的进度测试考试中评估内容领域的可靠性指数.
- 在标准化测试中评估医疗知识领域的内部一致性.
主要方法:
- 在九所公立医学院 (2017-2023) 进行了分析,观察和横截面研究.
- 为基础科学,内科,外科,儿科,产科和妇科以及公共卫生的可靠性计算了Cronbach的alpha.
- 使用简单的线性回归来分析可靠性的时间趋势.
主要成果:
- 基础科学和内科医学的可靠性较低 (克朗巴赫的α).
- 妇科,产科和公共卫生领域的可靠性更高.
- 经过调整 (不包括基础科学),内部医学在2023年实现了最高可靠性;大多数领域保持稳定.
结论:
- 在医疗评估中,公平的内容划分可能会产生低于最佳的可靠性,特别是在内部医学方面.
- 对一般医学知识评估的内容采样进行重新评估是必要的.
- 优化评估结构可以提高医学教育评估的可靠性.
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