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在基于能力的评估中,全球性与减少主义的方法之间的不一致性对于医学学生在过渡到住院课程的过程中进行基于能力的评估
Holly A Caretta-Weyer1, Lalena M Yarris2
1Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.
评估个人临床能力并不等同于评估整体可委托专业活动 (EPA). 全球EPA评估和委托判断与聚合子单位能力数据不同,突出了对临床能力的更广泛观点的需要.
科学领域:
- 医学教育 医学教育
- 临床能力评估临床能力评估
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 基于能力的教育引发了人们对临床能力评估中的缩小主义的担忧.
- 评估孤立的能力可能并不反映临床医生的整体能力.
- 可信任的专业活动 (EPA) 框架提供了一种全面的方法来评估工作单位.
研究的目的:
- 为了确定聚合子单位的能力评估是否等同于环保署的总体评估.
- 为了比较自下而上的 (子单位能力) 和自上而下的 (全球EPA) 评估方法.
- 探索子单位能力评估与基于EPA的全球评估之间的关系.
主要方法:
- 一个基于模拟的研讨会被用来评估学生.
- 学生使用对核心环保署 (bottom-up) 进行映射的子单位能力进行评估.
- 全球EPA被评估使用监督量表,委托和准备就住户声明 (上下) 的情况.
主要成果:
- 小组能力评估与基于工作场所的数据高度相关.
- 然而,子单位的能力评估与全球EPA监督评级,委托决定或准备入住的情况没有相关性.
- 全球EPA评估和子单位能力聚合似乎是不同的过程.
结论:
- 将子单位的能力评估汇总起来并不等同于对环保署的总体评估.
- 可信度和总体判断是超越个人技能评估的委托的关键组成部分.
- 评估框架应考虑细分能力和整体绩效,以评估临床准备.
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