医生助理教育中的看不见的影响:探索监督临床实践经验中的潜在因素
Hannah R Wright1,2,3,4,5,6,7,8, Jaclyn Demeter1,2,3,4,5,6,7,8, Mitchell Barnett1,2,3,4,5,6,7,8
1Hannah R. Wright, MMS, PA-C, is a clinical assistant professor of Department of Medicine and an assistant program director of MSPA Program at Stanford University School of Medicine, Stanford, California.
标准化考试评估一般知识,而医生助理 (PA) 导师评估捕捉轮换特定的技能. 这种区别影响了在PA教育中测量临床能力的方式.
科学领域:
- 医学教育 医学教育
- 健康 专业 教育 卫生 专业 教育
- 医生助理研究 医生助理研究
背景情况:
- 医生助理 (PA) 计划通过标准化考试和学长评估来评估学生的临床能力.
- 临床环境对接受器评估和测量它们的构造的影响还不太清楚.
研究的目的:
- 探索PA学生标准化考试和学长评估中的潜在因素之间的关系.
- 为了确定教师评估是否与标准化评估相比,捕捉了不同的构造.
主要方法:
- 在3个项目 (2020-2024) 中,对782名PA学生的数据进行了回顾性,横截面分析.
- 利用了PA国家认证考试 (PANCE) 的成绩,轮值结束 (EOR) 考试成绩 (内部医学,家庭医学,急诊医学) 和监护人的评估.
- 使用探索性因子分析 (EFA) 来识别潜在的因素.
主要成果:
- 一个四因素的解决方案解释了54.3%的差异.
- 标准化评估 (PANCE,EOR) 被加载到一个单一的因素中.
- 预防器评估形成了三个不同的因素,对应于家庭医学,急诊医学和内科医学轮换.
- 在标准化考试和教师等级之间观察到最小的交叉负载.
结论:
- 标准化考试评估一个常见的知识或临床推理构造.
- 预防器评估捕捉了不同的,轮转特定的维度,可能反映了取决于背景的表现和行为.
- 调查结果对PA计划评估和评估策略有影响.
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