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作为同行评审计划的一部分,对初级保健医生的能力评估
G R Norman1, D A Davis, S Lamb
1Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ontario, Canada.
JAMA
|September 1, 1993
概括
这项研究开发了一个可靠的临床能力评估计划,用于医生同行评审. 多组件检查证明是可行的,可靠的,有效的评估医生.
科学领域:
- 医学教育 医学教育
- 医生评估 医生评估
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 同行评审过程对于保持医生能力至关重要.
- 需要一个强大的评估计划作为同行评审的第二阶段.
- 评估临床能力需要可靠和有效的方法.
研究的目的:
- 在医生同行评审中设计和测试一项评估临床能力的程序.
- 为了确定本评估计划的可靠性和有效性.
- 探索影响评估结果的人口因素.
主要方法:
- 一项涉及安大略省初级保健医生的三组队列研究.
- 使用多组件检查,包括标准化患者,口腔检查,图表审查和客观结构化临床检查.
- 包括参考医生,志愿者以及许可机构推的医生.
主要成果:
- 评估计划显示出高可靠性,测试可靠性在0.73到0.91.9之间.
- 所有测试的组件都有效地区分了不同的医生子组.
- 诸如年龄,毕业生身份和家庭医学认证等人口因素影响了结果.
结论:
- 开发的多组件检查是医生同行评审的可行和可靠工具.
- 证明了该计划在评估临床能力方面的有效性.
- 这种评估方法可以提高同行评审过程的有效性.
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