异常值评估者是否提供有用的叙述性评论?
Sebastian Dewhirst1, Nora D Szabo1, Andrew K Hall1
1Department of Emergency Medicine, University of Ottawa, Ottawa, Canada.
Medical teacher
|December 10, 2025
概括
异常值评估者,无论是宽容的还是范围限制的,都提供了低效用评估. 需要有针对性的干预措施来提高这些教育工作者的数字和叙事反的质量.
科学领域:
- 医学教育 医学教育
- 评估质量质量评估质量
- 紧急医疗 紧急医疗
背景情况:
- 评估员的变化,包括严格性/宽容性和范围限制,可能会影响教育评估的有用性.
- 异常评估者的叙述性评论的质量并未得到充分理解.
研究的目的:
- 评估异常评估者提供的评估分数的有用性 (严格/温和和范围限制).
- 为了确定异常值的地位和范围的限制是否与较低的评估质量相关.
主要方法:
- 利用来自学术急诊室的班结束评估,使用学习质量评估 (QuAL) 评分来得分.
- 量化评估器的严格性/宽松性和使用平均值-delta和标准偏差的范围限制.
- 使用T测试和线性回归比较异常值与非异常值评估者的平均QuAL得分.
主要成果:
- 在81名评估员中,确定了20名异常评估员 (10名严格,10名宽松).
- 非异常值 (4.0) 的平均QuAL得分明显高于宽容异常值 (3.1).
- 范围限制与平均QuAL得分 (R2=0.11,p=0.003) 有负相关性.
结论:
- 异常者宽容和范围受限的评估者提供质量较低的叙事评估.
- 有限实用性的数值和叙事评估的评估人员需要有针对性的干预措施.
- 提高评估人员的质量对于有效的医学教育和学习者发展至关重要.
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