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在细胞学教育和细胞形态学检查中调查第一本能谬论

Paul Z Chiou¹, Yuane Jia²

¹Department of Clinical Laboratory and Medical Imaging Sciences, Rutgers Biomedical and Health Sciences, Rutgers University, Newark, New Jersey.

Journal of the American Society of Cytopathology

|August 24, 2024

概括

在细胞学检查中改变答案可能会影响得分. 虽然有些变化会提高得分,但有些则会降低得分,性能水平会影响答案修改成功率.

科学领域:

医学教育医学教育
细胞病理学细胞病理学
评估和评价的评估和评估.

背景情况:

细胞形态学中的高风险检查对于评估能力至关重要.
了解响应变化行为对于测试策略和性能分析至关重要.

研究的目的:

为了确定在细胞形态学考试中改变答案是否会影响受试者得分.
分析高,平均和低绩效学习者之间答案变化频率的差异.
探索答案变化成功率与学习者绩效水平之间的相关性.

主要方法:

从2019-2023年对细胞学最终图像检查的审查.
记录答案的变化及其对分数的影响 (提高或降低).
对不同绩效组 (低,中,高) 的反应变化模式和结果的分析.

主要成果:

大约48.0%的答案变化导致得分增加,34.7%导致得分下降.
在答案变化的成功率和学习者的绩效水平之间发现了显著的相关性 (χ2(24,n=24) = 10.24,P < 0.05).
平均表现好的学生群体表现出"得分上升"与"得分下降"的比例最高.

结论:

过于谨慎的受试者避免改变初始反应,在高风险的细胞形态学多选择性测试中可能处于不利地位.
学习者的绩效水平是答案变化成功率的一个重要因素.
战略性答案修改,特别是平均表现者,可以积极影响考试结果.

关键词:

答案改变答案改变证书认证考试考试证书认证考试细胞学教育细胞学教育细胞形态学细胞形态学第一个本能错误的谬论.

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