使用既定的住院医师培训项目评估工具来满足毕业后医学教育认证委员会的能力要求。

Meeting the Accreditation Council for Graduate Medical Education competencies using established residency training program assessment tools.

作者信息

Brasel Karen J, Bragg Dawn, Simpson Deborah E, Weigelt John A

机构信息

Department of Surgery, Medical College of Wisconsin, 9200 W. Wisconsin Ave., Milwaukee, WI 53226, USA.

出版信息

Am J Surg. 2004 Jul;188(1):9-12. doi: 10.1016/j.amjsurg.2003.11.036.

DOI:10.1016/j.amjsurg.2003.11.036

PMID:15219477

Abstract

BACKGROUND

Most existing residency evaluation tools were constructed to evaluate the Accreditation Council for Graduate Medical Education (ACGME) competencies.

METHODS

Before ACGME's six competency based assessment requirements for resident performance were developed, we created a residency evaluation tool with 5 domains important to successful surgical resident performance. Reliability was determined after 6 months of use. Factor analysis assessed whether the evaluation tool was a construct-valid measure of the ACGME competencies.

RESULTS

Three hundred forty-three evaluations for 36 surgical residents were tested. The original evaluation tool was highly reliable with an overall reliability of 0.97. Factor analysis defined 4 new combinations of questions analogous to 4 of the ACGME competencies: professionalism (reliability 0.95), patient care (reliability 0.93), medical knowledge (reliability 0.92), and communication (reliability 0.92). The new competency clusters were correlated with each other to a moderate degree.

CONCLUSIONS

Our locally developed tool demonstrated high reliability and construct validity for 4 of 6 ACGME competencies. The correlation between factors suggests overlap between competencies.

摘要