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基于EPA的常规评估可以预测本科医学学生的欧安组织表现吗?

Yi-Hsuan Lin^1,2,3, Ying-Ying Yang^2,4, Chen-Huan Chen^2,4

¹Division of Clinical Skills Training, Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan.

Medical teacher

|October 14, 2024

概括

基于工作场所的可信任专业活动 (EPA) 与客观结构化临床检查 (OSCE) 成绩有很强的相关性. 环境保护协会可以为传统的欧安组织提供一个可行的替代方案,用于评估医学学生的临床能力.

科学领域:

医学教育医学教育
临床评估临床评估
医疗保健专业培训医疗保健专业培训

背景情况:

客观结构化临床检查 (OSCE) 是医学学生评估的全球标准.
需要探索反映现实世界临床实践的替代评估方法.

研究的目的:

调查可信的专业活动 (EPA) 作为欧安组织的替代品的有效性.
评估基于EPA的工作场所评估与欧安组织绩效之间的相关性.

主要方法:

265名六年制本科医学学生在轮换期间 (2021-2023) 使用13个EPA进行了评估.
开发了一个预测模型,使用通用估计方程来分析EPA-OSCE得分关联.
由于缺乏意义,EPA8和EPA9被排除在最终模型之外.

主要成果:

在三个毕业队伍中,大多数EPA和欧安组织得分之间观察到显著的正相关性.
开发的预测模型显示了欧安组织成功的合理预测能力 (AUC从0.66到0.82不等).

结论:

基于工作场所的EPA评估与基于能力的模拟评估 (OSCE) 有着强烈的相关性.
环境保护协定显示出作为医学学生有效的替代评估工具的潜力,补充或取代传统的欧安组织环境保护协定.

关键词:

可信任的专业活动.评估,评估和评价,这是一个很好的方法.客观结构化的临床检查本科医学学生的学生.

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