标准制定程序的比较,以建立可辩护的临床技能评估合格标准:Angoff,边界组,对比组和患者安全方法
Rachel S Tappan1, Megan L Freeland1, Elizabeth E Holland1
1Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
The clinical teacher
|September 4, 2025
概括
患者安全方法最符合临床技能评估目标,特别是当患者安全至关重要时. 这种方法确保了与安全相关的项目更高的性能标准,为未来的标准制定选择提供了信息.
科学领域:
- 医学教育
- 医疗专业教育
- 临床技能评估
背景情况:
- 标准设定方法对于建立准确的临床技能评估分数至关重要.
- 目前的方法产生不同的切割分数,对选择的指导有限.
- 这项研究比较了四种不同的标准设定方法.
研究的目的:
- 比较四种物理治疗师临床技能评估标准设定方法的应用和结果.
- 评估不同方法与专家对能力的概念的一致性,特别是在患者安全方面.
- 为在临床技能评估中选择适当的标准设定方法提供建议.
主要方法:
- 在物理治疗师学生的临床技能评估中应用了Angoff,患者安全,边界组和对比组的方法.
- 使用未识别的历史数据集 (n=92) 来应用衍生切割分数.
- 进行了后期物流回归分析,以检查全球能力评级的基础结构.
主要成果:
- 裁员得分差异很大,从65.9% (Angoff) 到86.1% (边界集团).
- 历史数据集的合格率在60.9%至98.9%之间.
- 后勤回归显示,较高的安全分数与合格分数 (OR=18.97) 之间存在强烈的关联,而总分数则不显著.
结论:
- 患者安全方法与专家判断在能力方面表现出卓越的一致性,特别是在安全关键的项目上.
- 这种方法被推用于临床技能评估,患者的安全是首要问题.
- 选择方法的关键因素包括合格率的可行性和与评估目标结构的一致性.
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