不是所有环保署都平等:用实用模型解决抽样偏差
Phillip Jenkins1, Ali Oran1, Carolyn C Chang1
1Department of Surgery, OHSU, Surgical Data and Decision Sciences Lab, Portland, Oregon.
Journal of surgical education
|September 26, 2025
概括
值得信赖的专业活动 (EPA) 评估不均地完成,造成偏见. 我们新的EPA评估实用模型纠正了这些偏见,并指导教师完成最具影响力的评估.
科学领域:
- 医学教育 医学教育
- 健康 专业 教育 卫生 专业 教育
- 基于能力的医学教育
背景情况:
- 值得信赖的专业活动 (EPA) 对于评估居民为实践做好准备至关重要.
- 手动启动EPA评估导致完成率不均,并引入了偏见.
- 环保署评估的变化存在于个人,专业和机构之间.
研究的目的:
- 引入EPA评估实用建模,以解决评估完成中的偏见.
- 提供数据驱动的方法来纠正和避免EPA评估中的偏见.
- 告知教师对EPA评估机会的有用性,并确定何时最需要它们.
主要方法:
- 整体外科的纵向分析 37个机构的EPA评估,使用EHR可集成的平台.
- 电力法曲线适应以衡量EPA评估计数中的偏差.
- 贝叶斯网络建模和蒙特卡洛模拟以量化评估影响并制定评估实用性评分.
主要成果:
- 环保署评估计数显示,环保署类型,教师,专业和居民之间存在显著的偏差.
- 前4名EPA类型占评估的52.8%;前15名教师提供了33.5%.
- 前2名专业贡献了31.0%的评估;前20名居民获得了20.1%.
结论:
- 美国环保署的评估有很大的偏差,导致对委托级别的偏见表示.
- 提出了一个评估实用框架,以优化EPA评估时间,评估者选择和优先级.
- 这种数据驱动的方法旨在改善基于能力的医学教育的测量.
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