在一天检查和纵向评估之间检查家庭医学认证尺度的构造稳定性
Thomas R O'Neill1, Keith Stelter2, Ting Wang2
1From the American Board of Family Medicine, Lexington, KY (TRO, KS, TW); University of Minnesota - Mankato Family Medicine Residency Program, Mankato, MN (KS). toneill@theabfm.org.
Journal of the American Board of Family Medicine : JABFM
|January 30, 2025
概括
在家庭医学中,临床决策能力在不同评估模式中显示出一些不变性. 然而,项目难度各不相同,由于时间和资源的延长,大多数问题在纵向评估中变得更加容易.
科学领域:
- 医学教育 医学教育
- 心理测量 心理测量 心理测量
- 家庭医学 家庭医学 家庭医学
背景情况:
- 在医学教育中,评估临床决策能力至关重要.
- 在不同的评估格式中检查构造不变性对于有效的测量至关重要.
研究的目的:
- 通过一天的检查和纵向评估,评估家庭医学临床决策能力的不变性.
- 为了确定与这些管理模式之间难度差异相关的项目特征.
主要方法:
- 从一天的检查和纵向评估中使用的项目难度校准.
- 采用重复测量设计来评估管理模式之间的问题稳定性.
- 进行了标记项目的定性审查,以确定影响难度转移的特征.
主要成果:
- 在不同模式的项目校准之间发现了中等的正相关性 (r=0.558).
- 37%的项目没有显著的难度差异,而43%的项目在纵向评估中变得更容易,20%的项目变得更难.
- 分析表明,延长时间和资源可用性影响了项目难度.
结论:
- 临床决策能力构造表现出一些稳定性,但受评估模式的影响.
- 项目难度可能会改变,当允许额外的时间和资源时,往往变得更容易.
- 建议调整项目难度的方法,以便在不同的评估条件中保持单一的构造.
关键词:
认证 认证 认证 认证 认证 认证评估研究 评估研究家庭医学 家庭医学 家庭医学许可证许可证的授权.纵向研究 纵向研究心理测量 心理测量 心理测量研究设计研究研究设计一个尺度,一个尺度.统计 统计 统计 统计更多相关视频
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