总结性,形成性或程序性评估对荷兰国家药物治疗评估的影响:一项回顾性多中心研究
Erik M Donker1, Floor van Rosse2, Ben J A Janssen3
1Amsterdam UMC, Location VUmc, Department of Internal Medicine, Unit Pharmacotherapy, Amsterdam, the Netherlands; Research and Expertise Centre in Pharmacotherapy Education (RECIPE), Amsterdam, the Netherlands.
与形成性评估相比,传统课程中的总结性评估显著提高了医学生的荷兰国家药物治疗评估 (DNPA) 成绩. 程序性评估可能会产生稍微较低的,但仍然有效的结果.
科学领域:
- 医学教育 医学教育
- 临床药理学 临床药理学
- 评估方法 评估方法
背景情况:
- 荷兰国家药理疗评估 (DNPA) 是为了提高荷兰的药理疗教育而制定的.
- 它的重点是药物安全和医学生必需的药物知识.
研究的目的:
- 调查不同评估计划对DNPA最后一年医学学生成绩的影响.
- 为了比较传统的评估 (总结性与形成性) 与程序性评估.
主要方法:
- 一个多中心的回顾性纵向观察研究 (2019-2023) 涉及1894名荷兰四所医学院的最后一年医学学生.
- 在各种评估条件下进行了DNPA的管理:总结性,形成性和非高风险的程序.
- 在研究期间,有三所学校在评估项目类型之间进行过渡.
主要成果:
- 传统课程的总体评估得分 (84.3%) 和通过率 (60.4%) 比形成性评估 (67.5%,5.9%) 高得多.
- 与传统的总结性评估相比,程序性评估 (非高风险) 的得分 (81.%) 和通过率 (51.8%) 略低.
- 在传统课程中,从形成性向总结性的转变显著提高了成绩和通过率 (+14.4%, +42.3%).
- 从传统的总结性评估过渡到非高风险的程序性评估,导致得分略有下降 (-3.3%) 和通过率 (-14.2%).
结论:
- 传统课程中的总结性评估对DNPA最有效,导致学生表现优越.
- 程序性评估,虽然可能会产生稍低的分数,仍然是一个可行的教育方法.
- 医学院内评估计划结构的变化明显影响了DNPA的结果,突出了评估设计的重要性.
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