Schuwirth L W T, van der Vleuten C P M
Universiteit Maastricht, Capaciteitsgroep Onderwijsontwikkeling en Onderwijsresearch, Postbus 616, 6200 MD Maastricht.
Ned Tijdschr Geneeskd. 2005 Dec 3;149(49):2752-5.
There has been considerable change in the field of assessment of medical competence. At the moment, competency-orientated assessment, 'mini-CEX' (brief clinical evaluation exercises) and portfolios are quite popular. These methods are based on research findings indicating that medical competence can better be described as a collection of the complex tasks (so-called competencies) that a doctor must be able to perform than as the sum of knowledge, skills, problem-solving ability and attitudes. Mini-CEX represents a method for the assessment of medical competence reliably and validly in a practical setting. Using a portfolio, information on the student's competence can be collated and evaluated from various sources, including mini-CEX. As such, a portfolio has much in common with a patient chart.
医学能力评估领域发生了相当大的变化。目前，以能力为导向的评估、“迷你临床评估练习”（mini-CEX）和档案袋相当流行。这些方法基于研究结果，表明医学能力更适合被描述为医生必须能够执行的一系列复杂任务（即所谓的能力）的集合，而不是知识、技能、解决问题的能力和态度的总和。迷你临床评估练习是一种在实际环境中可靠且有效地评估医学能力的方法。通过档案袋，可以从包括迷你临床评估练习在内的各种来源整理和评估学生能力的信息。因此，档案袋与病历有很多共同之处。
