医学院毕业的考试 (OSCE):边界和霍夫斯蒂方法的比较
Marcelo R García Diéguez1, Marta P Del Valle1, Alejandro G Cragno1
1Center for Studies in Health Professional Education (CEEProS), Department of Health Sciences, Universidad Nacional del Sur, Bahía Blanca, Argentina.
Archivos argentinos de pediatria
|August 26, 2025
概括
在客观结构化临床检查 (OSCE) 中设定分数的边界小组方法比霍夫斯蒂方法更宽容,导致更多的学生通过. 这两种方法都显示出足够可靠的医学教育评估.
科学领域:
- 医疗教育
- 评估和评价
背景情况:
- 在客观结构化临床检查 (OSCE) 中设定切断点是医疗评估的一个关键但有争议的方面.
- 像霍夫斯蒂方法这样的传统方法可能是资源密集的,特别是在有限的环境中.
- 边界组方法通过使用在考试中的观察提供了潜在的更有效的替代方法.
研究的目的:
- 将边界组和霍夫斯蒂标准设定方法的可靠性和实际结果进行比较.
- 在阿根廷公立大学背景下提供欧安组织评估策略的当地证据.
- 为国际讨论有效可靠的欧安组织评分作出贡献.
主要方法:
- 一项涉及56名学生和12个欧安组织站的横截面研究进行.
- 使用两种标准设定方法:边界组 (考试期间) 和霍夫斯蒂 (专家咨询).
- 使用概括性理论分析了可靠性 (phi系数) 和失败率.
主要成果:
- 边界小组方法的切断得分为54,可靠性高 (0.89),没有学生失败.
- 霍夫斯蒂的方法导致截止分数为60.7,其中1-3名学生失败,可靠性为0.68和0.82.
- 学生的平均分数为66.1分 (SD为4.7).
结论:
- 边界组和霍夫斯蒂的方法都对欧安组织的评估具有足够的可靠性.
- 与霍夫斯蒂方法相比,边界组方法更宽容,导致通过率更高.
- 选择的方法对学生在医学教育中的进步有重大实际影响.
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