在内科实习中实施核心可信任的专业活动:心理测量研究
Julia Lister1, Shahidali Jaffer2, Rachel Stork Poeppelman3
1Division of Hospital Medicine, Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA. liste013@umn.edu.
Journal of general internal medicine
|January 29, 2026
概括
值得信赖的专业活动 (EPA) 有效地衡量了医学生在内科实习的成长. 对核心EPA的基于工作场所的评估证明了跟踪学生发展的有效性和可靠性.
科学领域:
- 医学教育 医学教育
- 基于能力的评估.
- 基于工作场所的评估
背景情况:
- 可信任的专业活动 (EPA) 为基于能力的评估提供了一个整体的方法.
- 进入居留权的13个核心EPAs (CEPAER) 定义了新居民的基本技能.
- 这些EPA测量医学生在间接监督下执行任务的能力.
研究的目的:
- 评估基于工作场所的评估对13个CEPAER的有效性和可靠性.
- 为了确定EPA是否准确地测量医学学生在内部医学 (IM) 职员期间的表现和成长.
主要方法:
- 一项相关研究涉及明尼苏达大学医学院的398名三年级医学学生.
- 在两个学年中,从825名评估员那里收集了10,034份基于EPA的评估.
- 专注于经常评估的EPA:口头演讲 (EPA 6),文档 (EPA 5) 和测试解释 (EPA 2).
主要成果:
- 回归分析显示,特定环保协议的委托分数显著增加 (1, 2, 3, 5, 6, 8, 10, 12).
- 概括性分析表明,至少需要5个评级者进行5次评估才能获得足够的可靠性 (Ep2 ≥ 0.80).
结论:
- 医学生成长指数 (EPA) 是衡量医学生在IM实习期间成长的有效和可靠工具.
- 该研究强调了环保协议的有效性,特别是在特定的核心活动中.
- 基于工作场所的EPA评估支持医学培训的基于能力的进步.
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