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学习者和教师可信度 内分泌外科的一致性 可信度 专业活动可信度

Polina Zmijewski1, Julia Adriana Kasmirski2, Sanjana Balachandra2

  • 1University of Tennessee Medical Center, Knoxville, Tennessee, USA.

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对于内分泌外科手术的学习者和教师评分,可信任的专业活动 (EPA) 显示出强烈的一致性,特别是在操作技能方面. 然而,学习者往往低估了他们在手术前后阶段的表现.

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评估评估的评估评估的评估.基于能力的评估能力的评估.基于能力的教育是基于能力的教育.内分泌手术是指内分泌手术.可信任的专业活动.

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科学领域:

  • 外科教育的外科教育
  • 医学评估 医学评估
  • 内分泌外科手术培训 培训

背景情况:

  • 美国内分泌外科医生协会 (AAES) 为内分泌外科 (ES) 开发了可信任的专业活动 (EPA),以评估居民和同事的能力.
  • 本研究调查了这些ES EPA的学习者自我评估和教师评级之间的协议.

研究的目的:

  • 评估内分泌外科EPAs的学习者和教师可信度评级之间的一致性.
  • 在手术护理的不同阶段,识别自我评估与教师评估之间的差异.

主要方法:

  • 定义了14个EPA,包括具有单相或多相组件的核心活动和选修活动.
  • 十个机构利用基于网络的微观评估 (MAs),对可观测的行为进行五分级.
  • 学生的自我评分和单独的教师评分使用斯皮尔曼等级相关性进行了比较.

主要成果:

  • 在2022年7月至2023年9月期间,共收集了698个MA.
  • 学习者和教师评级之间的一致性因EPA阶段而异:32% (手术前),53% (手术后),29% (手术后) 和64% (单阶段).
  • 整体斯皮尔曼相关性为0.66,在手术前阶段的相关性最高 (0.73),在手术后阶段的相关性最低 (0.20). 学习者往往低估了自己的表现.

结论:

  • 学习者自我评估和教师对内分泌外科手术的评分表明,EPAs具有很强的一致性,特别是在操作技术技能方面.
  • 存在差异,与教师评估相比,学习者经常低估了他们在手术前和手术后护理方面的表现.