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衡量和纠正欧安组织大规模工作人员的变化.
Skerdi Haviari1,2,3, Christian de Tymowski1,4,5, Nelly Burnichon1,6,7
1UFR de médecine, Université Paris Cité, Paris, France.
BMC medical education
|July 29, 2024
概括
检查员的变化显著影响客观结构化临床检查 (OSCEs) 的得分,影响医学学生的评估. 双重评估和统计调整可以减轻这种情况,尽管未测量的因素仍然具有挑战性.
科学领域:
- 医学教育 医学教育
- 临床评估 临床评估
- 统计建模 统计建模
背景情况:
- 客观结构化临床检查 (OSCE) 被广泛用于医学学生的评估.
- 由于欧安组织的面对面互动,出现了标准化挑战.
- 量化和调整审查员影响对于欧安组织可靠性至关重要.
研究的目的:
- 分析欧安组织分数中与工作人员和学生相关的变化.
- 评估共识评分对得分标准化的影响.
- 提出一个统计方法来调整欧安组织的评级者之间的变化.
主要方法:
- 分析了来自三个欧安组织的2615个学生会议的16910个车站分数.
- 利用混合效应模型来评估员工和学生的得分差异.
- 单级评分与双级 (共识) 评分会议的比较.
主要成果:
- 在欧安组织得分中,与工作人员相关的显著异质性 (p<10^-15),解释了高达11.6%的差异.
- 共识分级 (双重评级者) 似乎可以缓解员工相关的异质性.
- 学生的变化解释了变异比例较小 (8.8%-11.3%),排名的纵向一致性没有得到改善.
结论:
- 欧安组织的工作人员的变化与学生的变化相当.
- 双重评估和使用混合模型的统计调整可以减少审查者效应.
- 不测量的变化源在持续捕捉欧安组织得分波动方面存在挑战.
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