在本科医学课程的考官中探索"未能失败"的行为
Ahsan Sethi1, Naveed Afzal Khan2, Alia Jehan Zaib3
1Health Professions Education, Department of Public Health, College of Health Sciences, QU Health, Qatar University, Doha, Qatar.
Medical teacher
|December 19, 2025
概括
巴基斯坦的考官经常通过表现不佳的医学学生,原因是外部压力和系统性问题,影响了患者的安全. 解决这一问题需要社会诚信和问责,以改善医学教育评估.
科学领域:
- 医学教育 医学教育
- 医疗保健系统 医疗保健系统
- 评估和评价 评估和评价
背景情况:
- 尽管发展中国家对国际医学毕业生的贡献很大,但对发展中国家的"未能失败"行为存在有限的研究.
- 了解检查员的行为对于医疗专业性,患者安全和全球医疗保健标准至关重要.
研究的目的:
- 利用游戏理论,探索巴基斯坦表现不佳的医学学生的检查员中"失败失败"行为的决定因素.
- 分析影响考官决定在资源有限的背景下评估医学学生的因素.
主要方法:
- 在巴基斯坦进行了一项定性,多机构的案例研究.
- 有目的的最大变异采样选择了来自六所医学院的15名基础和临床科学检查员.
- 数据是通过文字转录的采访收集的,并使用框架分析方法进行分析.
主要成果:
- 考官报告说,不愿意通过不配的学生,但承认这样做.
- 游戏理论确定了四个关键的决策要素:玩家,回报 (个人和社会) 和游戏规则 (政策,规范).
- 考生面临来自学生,家庭,行政和政治人物的压力,以及制度规则和社会文化因素的压力.
结论:
- 个人,社会和系统限制对医学学生的能力评估产生负面影响,这对患者的安全有影响.
- 虽然一些约束可能是发展中国家的特定环境,但许多是普遍的.
- 打破"失败的失败"循环需要社会完整性,问责制和干预措施,如同行指导,修订的激励措施和明确的政策.
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