公开董事会评分报告破坏了对居留选择的整体审查
Matthew Kelleher1, Daniel J Schumacher2, Christine Zhou3
1Internal Medicine and Pediatrics Hospital Medicine, University of Cincinnati College of Medicine/Cincinnati Children's Hospital Medical Center, Cincinnati, USA. kellehmw@ucmail.uc.edu.
Journal of general internal medicine
|November 4, 2024
概括
居住计划可能会看到更高的董事会失败率,如果他们去强调标准化考试成绩. 公开报告的董事会通过率可能会激励项目放弃整体审查,冒着医疗教育质量的风险.
科学领域:
- 医学教育 医学教育
- 研究生医学教育研究生医学教育
- 医生培训 医生培训 医生培训
背景情况:
- 整体审查是入住选择的标准,导致许多项目不再强调标准化考试成绩.
- 美国医学专业委员会 (ABMS) 委员会通过率的公开报告可能会产生压力并扭曲申请人选择.
- 在不优先考虑测试成绩的程序中,依赖规范性指标可能会无意中增加董事会失败率.
研究的目的:
- 评估减轻标准化考试成绩对居住计划委员会通过率的影响.
- 检查公开报告的董事会通过率对居留选择实践的影响.
- 提出用于居住计划评估的替代指标.
主要方法:
- 分析当前在居住选择和计划评估方面的做法.
- 审查标准化考试成绩对初始认证考试成功的影响.
- 用学习分析来确定预期的董事会通过率的概念性建议.
主要成果:
- 不重视标准化得分可能会导致某些住院课程的董事会失败率增加.
- 公开报告的董事会通过率可以激励人们重返优先考虑考试成绩,从而破坏整体审查.
- 当前的报告方法可能不准确地反映程序质量或提供有意义的问责制.
结论:
- 应该停止公开报告超过一个值的原始认证考试通过率,以便进行规范性比较.
- 学习分析可以创建一个更公平的"预期的董事会通过率"来评估居住计划.
- 调整评估指标对于保持整体审查和确保高质量的医生培训至关重要.
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