在COVID限制条件下进行客观的结构化临床检查
Andrea Gotzmann1, John Boulet2, Yichi Zhang2
1Medical Council of Canada, 1021 Thomas Spratt Place, Ottawa, ON, K1G 5L5, Canada. agotzmann@mcc.ca.
BMC medical education
|July 26, 2024
概括
修改后的国家评估协作 (NAC) 考试,一个客观结构化临床考试 (OSCE),在COVID-19期间保持了可靠性和有效性. 修改没有影响评估质量,支持其继续用于医疗认证.
科学领域:
- 医学教育 医学教育
- 评估科学 评估科学
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的流行,管理绩效评估,特别是医疗认证和执照考试面临重大挑战.
- 国家评估协作 (NAC) 考试是一项客观结构化临床检查 (OSCE),经过修改以适应与流行病相关的健康限制.
- 收集这些修改评估的可靠性和有效性的证据对于保持医疗认证过程的完整性至关重要.
研究的目的:
- 评估COVID-19大流行期间进行的修改后的NAC考试的可靠性和有效性.
- 提供证据支持NAC审查的持续使用和质量,尽管有必要的调整.
- 分析修改对不同人口群体评估结果的影响.
主要方法:
- 修改后的NAC考试在2020-2021年对2,433名考生进行了考试.
- 使用Cronbach的alpha,决策一致性和准确性来评估可靠性.
- 通过比较人口群体 (性别,IMG状态,PGT,语言) 的分数,并将NAC考试分数与加拿大医疗委员会资格考试 (MCCQE) 第I部分相关联,收集了有效性证据.
主要成果:
- 可靠性估计与以前的政府和类似的欧安组织可比.
- 对于性别,总和子分数的统计学上显著差异被观察到,而IMG和PGT状态显示出显著的子分数差异.
- 考试语言没有显著影响成绩. NAC考试和MCCQE Part I分数之间的相关性支持了有效性论证.
结论:
- 修改后的NAC考试显示了可靠的总分数和通过/拒绝的决定.
- 人口群体之间的分数差异与现有文献保持一致,支持有效性.
- 欧安组织对健康限制的调整可以在不影响整体评估质量的情况下实施.
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