通过根源原因分析对等级上诉的审查
概括
医学院使用根本原因分析分析了评分上诉,以确定评估者变化和不清楚的期望等因素. 解决方案被映射到医学教育标准联络委员会,以实现更公平的评分系统.
科学领域:
- 医疗教育 医学教育
- 评估和评价的评估和评估.
- 提高质量 提高质量
背景情况:
- 本科医学教育工作者旨在提高学生的学习和评分公平性.
- 美国医学执照考试的第一步转向通过/失败和对分级分级系统的审查促使对分级上诉进行审查.
- 医学院花费大量的资源来解决学生的等级上诉.
研究的目的:
- 检查医学院学生等级上诉的根本原因.
- 识别导致分级过程和系统面临挑战的因素.
- 提出改善评分透明度,公平性和学习环境的解决方案.
主要方法:
- 六个机构从2021年11月到2022年10月进行了根本原因分析 (RCA).
- 方法包括审查过去的分级挑战,促进讨论,鱼骨图和"五个为什么"技术.
- 鉴定的因素被映射到医学教育联络委员会 (LCME) 标准中.
主要成果:
- 鉴定到的评分上诉的根本原因包括评价员的变化,职工职位目标和期望的缺乏明确性,评分系统透明度问题,技术问题和教师的临床需求.
- 评估员质量和经验的变化是一个关键因素.
- 评分过程中缺乏透明度和不清楚的职员期望是显著的贡献者.
结论:
- 一种新的RCA和LCME标准映射方法可以改善医学院评分系统.
- 解决已识别的根本原因可以增强学习环境和评估公平性.
- 拟议的方法有可能改善评分流程,学生的学习和成功.
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