单个最佳答案问题的种族信息对学生表现,项目响应时间和心理特性的影响
Jenanan Mohan1, Michaela Pishia1, Duaa Alim1
1Imperial College School of Medicine, Imperial College London, London, UK.
Advances in health sciences education : theory and practice
|December 5, 2025
概括
在医学院评估中包括患者的种族并没有影响学生的成绩,但反应时间略有增加. 在设计未来的考试时,教育工作者应该考虑这种认知负载.
科学领域:
- 医学教育 医学教育
- 心理测量 心理测量 心理测量
- 健康 公平 卫生 公平
背景情况:
- 像年龄和性别这样的患者人口统计数据是单个最佳答案 (SBA) 问题的标准.
- 种族被选择性地纳入,可能引入偏见或意想不到的线索.
- 包括患者的种族对学生表现和评估有效性的影响尚不清楚.
研究的目的:
- 调查将患者的种族纳入SBA问题对医学学生表现的影响.
- 分析对响应时间和物品心理特性的影响.
- 为医疗评估设计中关于人口信息的最佳实践提供信息.
主要方法:
- 一项前性随机对照研究,使用两种版本的最后一年的形成性评估.
- 医学学生在SBA问题中被随机分配到具有或没有患者种族的版本.
- 分析了表现 (分数),响应时间和心理特征 (设施,项目总相关性).
主要成果:
- 有 (79.8%) 和没有 (80.3%) 种族问题 (p=0.12) 之间的平均分数没有显著差异.
- 学生花了显著更长的时间 (1.6秒) 回答包括种族在内的问题 (p<0.01).
- 平均设施 (p=0.17) 或项目总得分点-双序列相关性 (p=0.63) 没有显著差异.
结论:
- 在SBA问题中包括患者的种族并没有显著影响学生的表现或项目心理测量.
- 种族包容与认知负载的轻微增加有关,由更长的响应时间证明.
- 评估设计人员在决定是否纳入患者种族时,应考虑认知负担.
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