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在2022-2023年眼科住院申请人的CASPer情境判断测试中,医学和国际研究生偏见的代表不足

Daniel B Moore¹, Jamie B Rosenberg², Jee-Young Moon³

¹University of Kentucky, Department of Ophthalmology and Visual Sciences, USA.

Journal of academic ophthalmology (2017)

|August 5, 2025

概括

像CASPer这样的情境判断测试 (SJTs) 显示了对眼科中代表性不足的医学 (URiM) 和国际医学研究生 (IMG) 申请人的偏见. 这种偏差比传统的第一步和第二步得分要大,因此在招聘时需要谨慎.

科学领域:

医学教育医学教育
住院招生住院招生
标准化测试标准化测试

背景情况:

情境判断测试 (SJT) 越来越多地用于医学实习生选择.
在SJTs中的潜在偏差,如CASPer,并未得到充分理解.
这项研究解决了在眼科住院招生中评估SJT公平性的需要.

研究的目的:

为了评估基于计算机的评估采样个人特征 (CASPer) SJT得分在眼科住院申请人.
为了将CASPer分数与美国医学执照考试 (USMLE) 的第一步和第二步在不同人口群体中的分数进行比较.
为了确定CASPer中与性别,医学代表不足 (URiM) 状态和国际医学毕业生 (IMG) 状态相关的潜在偏见.

主要方法:

收集了所有2022-2023年眼科住院申请人的CASPer分数.
申请人数据,包括性别,URiM状态和IMG状态,均来自SF匹配居留申请系统.
分析了CASPer分数与USMLE第一步和第二步分数进行比较.

主要成果:

总共分析了760名申请人,41%为女性,15%为URiM,11%为IMG.
在第一步中,男性的得分略高一些 (科恩d=0.29,p<0.001).
在CASPer,第一步和第二步 (p < 0.001) 中,URIM和IMG申请人的得分明显较低,CASPer得分差异较大.

结论:

CASPer SJT对URiM和IMG眼科住院申请人表现出明显的偏见.
在CASPer中,这种偏差比在USMLE第一步和第二步得分中观察到的更明显.
在医疗住院招聘决策中使用标准化测试,包括SJT时,建议谨慎使用.

关键词:

阿尔图斯 (Altus) 是一个高高的城市.研究生医学教育研究生医学教育招聘方式招聘方式居住地招聘工作人员情境判断能力测试情况判断能力测试

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