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盲法面试在外科住院医师候选人评估中的作用。

The role of blinded interviews in the assessment of surgical residency candidates.

作者信息

Miles W S, Shaw V, Risucci D

机构信息

Department of Surgery, Carolinas Medical Center, P.O. Box 32861, Charlotte, NC 28232-2861, USA.

出版信息

Am J Surg. 2001 Aug;182(2):143-6. doi: 10.1016/s0002-9610(01)00668-7.

DOI:10.1016/s0002-9610(01)00668-7
PMID:11574085
Abstract

BACKGROUND

Interview assessments of surgical residency candidates may be biased by prior knowledge of objective data.

METHODS

Each candidate (site 1: n = 88; site 2: n = 44) underwent two interviews, one by faculty members informed only of a candidate's medical school, the second with prior knowledge of the complete application. Interviewers (site 1: n = 28; site 2: n = 14) independently rated candidates overall and on nine qualitative characteristics.

RESULTS

At site 1 only, overall ratings were significantly more favorable for unblinded than blinded interviews (23.0 +/- 17.7 versus 32.6 +/- 23.1, P < 0.01). Blinded and unblinded overall ratings correlated -0.01 (P = 0.90) and 0.31 (P = 0.05) at sites 1 and 2, respectively. At site 1 only, overall ratings correlated significantly with USMLE scores, but in opposite directions for blinded (r = 0.32, P = 0.003) versus unblinded interviews (r = -0.32, P = 0.003).

CONCLUSION

Interview assessments may be influenced by objective data, and faculty and program variables. The value of blinded interviewing may vary as a function of individual program characteristics.

摘要

背景

对外科住院医师候选人的面试评估可能会受到客观数据先验知识的影响。

方法

每位候选人(地点1:n = 88;地点2:n = 44)接受两次面试,一次由仅了解候选人医学院校的教员进行,另一次则是在知晓完整申请材料的情况下进行。面试官(地点1:n = 28;地点2:n = 14)独立对候选人的整体情况以及九个定性特征进行评分。

结果

仅在地点1,非盲法面试的整体评分显著高于盲法面试(23.0±17.7对32.6±23.1,P < 0.01)。地点1和地点2的盲法与非盲法整体评分的相关性分别为-0.01(P = 0.90)和0.31(P = 0.05)。仅在地点1,整体评分与美国医师执照考试(USMLE)成绩显著相关,但在盲法面试(r = 0.32,P = 0.003)和非盲法面试(r = -0.32,P = 0.003)中方向相反。

结论

面试评估可能会受到客观数据以及教员和项目变量的影响。盲法面试的价值可能因各个项目的特点而异。

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