在本科医学教育中实施核心可信任的专业活动:心理测量研究
Claudio Violato1, Robert Englander2, Esther Dale3
1C. Violato is professor and assistant dean, University of Minnesota Medical School, Minneapolis, Minnesota.
概括
医学教育中的可信任专业活动 (EPA) 评估是可行的,并提供可靠的数据来评估学生的表现和做出委托决策. 这项研究证明了它们在本科医学培训中的可靠性.
科学领域:
- 医学教育 医学教育
- 卫生职业教育中的评估
- 基于能力的医学教育
背景情况:
- 值得信赖的专业活动 (EPA) 在医学教育中越来越多地用于评估临床能力.
- 评估基于EPA的评估的心理测量属性和可行性对于其有效实施至关重要.
- 了解学习曲线和信任时间为学生的发展提供了洞察力.
研究的目的:
- 评估EPA评估在本科医学教育中的可行性和心理测量特性.
- 使用概括性理论 (G理论) 分析学习曲线,委托时间和数据依赖性.
- 确定EPA数据的可靠性,以做出委托决策.
主要方法:
- 明尼苏达大学的三年级医学学生 (n=240) 接受了7个职位的EPA评估.
- 学生平均每周从教师,居民或专家那里接受4次EPA评估.
- 用学习曲线的回归模型和可靠性的G理论分析了性能数据.
主要成果:
- 总共收集了32,614个EPA评估,总体得分依赖度为0.75,使用4个评估者和4次.
- 100%的学生在学年结束时达到EPAs 1,6和7的委托级别.
- 观察到显著的学习增长,特别是EPA 2 (β 0 = .286).
结论:
- 美国环保署的评级是可靠的,可靠的评估学生在临床环境中的表现.
- 基于EPA的评估系统可以有效地支持医学教育中的委托决策.
- 这些发现支持将EPA纳入临床评估计划的核心组成部分.
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