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提高教育的一致性:对临床推理评估工具的可靠性分析
Ben Wolden1,2,3,4, Mitch Wolden1,2,3,4, Jennifer Furze1,2,3,4
1Ben Wolden is an associate professor in the University of Jamestown, 4190 26th Avenue South, Fargo, ND 58104 ( ben.wolden@uj.edu ). Please address all correspondence to Ben Wolden.
Journal, physical therapy education
|August 8, 2024
概括
临床推理评估工具 (CRAT) 在评估物理治疗师教育中的临床推理方面表现出良好的可靠性. 这个工具可以提高在评估物理治疗博士学生的临床推理技能的一致性.
科学领域:
- 医学教育 医学教育
- 物理疗法物理治疗
- 临床推理评估评估
背景情况:
- 临床推理 (CR) 对于物理治疗师的实践至关重要.
- 临床推理评估工具 (CRAT) 是为物理治疗医生 (DPT) 和住院教育开发的.
- 在此之前,CRAT的可靠性还没有被证实.
研究的目的:
- 为了研究CRAT的interrater和intrarater可靠性.
- 评估CRAT应用在评估DPT学生的临床推理中的一致性.
主要方法:
- 22名教师参加了这项研究.
- 参与者在两个时间点完成了一项电子调查,在使用CRAT的案例视频上对DPT学生的表现进行评分.
- 通过使用类内相关系数 (ICC) 确定了interrater和intrarater的可靠性.
主要成果:
- 对于CRAT域的interrater可靠性是良好的至优秀的 (ICCs 0.60-0.79).
- 内测器的可靠性从相当到非常出色 (ICCs 0.45-0.75).
- 对表现更高的学生视频观察到更高的评分,与多年的经验有反向关系.
结论:
- CRAT是评估DPT学生在模拟遭遇中的临床推理的可靠工具.
- 实施CRAT可以提高物理治疗教育中临床推理评估的一致性.
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