Vnuk Anna, Owen Harry, Plummer John
Department of Medical Education, Flinders University, Adelaide, SA, Australia.
Med Teach. 2006 Aug;28(5):429-34. doi: 10.1080/01421590600625205.
Self-assessment is an important aspect in the development of lifelong learning skills for medical students, crucial to maintaining a high level of competence in practice. Basic Life Support (BLS) is a skill that all health professionals must acquire and maintain competence in. This paper reports data from a study of 95 first-year graduate entry medical students at Flinders University in Australia, determining how well the students could assess their own BLS performance. These students were videotaped performing a short CPR scenario using a Resusci Anne with SkillReporter (Laerdal, Norway). Using a six-point descriptive ratings scale, students graded themselves twice: once immediately after completing the task, and again after viewing a video of their performance. A single expert assessor viewed all the video recordings and, based on International Liaison Committee on Resuscitation (ILCOR) Guidelines, graded the students using the same scale. The hypothesis was that the intervention of viewing their performance on video would improve the correlation of their ratings with the expert assessor. The results showed that the students' assessments did not agree with the expert assessor either before (weighted kappa = 0.03) or after seeing the video (weighted kappa = 0.002). Possible reasons, including student attitudes and lack of benchmarking, are discussed. Self-assessment skills of students warrant further attention.
自我评估是医学生终身学习技能发展的一个重要方面，对于在实践中保持高水平的能力至关重要。基础生命支持（BLS）是所有卫生专业人员都必须掌握并保持能力的一项技能。本文报告了对澳大利亚弗林德斯大学95名一年级研究生入学医学生的一项研究数据，以确定学生对自己BLS表现的评估能力如何。这些学生使用配备SkillReporter的复苏安妮（挪威Laerdal公司）进行了一段简短的心肺复苏场景演练，并被录像。学生们使用六点描述性评分量表对自己进行了两次评分：一次在完成任务后立即进行，另一次在观看自己表现的视频后进行。一名专家评估员观看了所有录像，并根据国际复苏委员会（ILCOR）指南，使用相同的量表对学生进行评分。假设是观看自己视频表现的干预措施会提高他们的评分与专家评估员评分的相关性。结果表明，无论是在观看视频之前（加权kappa = 0.03）还是之后（加权kappa = 0.002），学生的评估与专家评估员的评估都不一致。文中讨论了包括学生态度和缺乏基准等可能的原因。学生的自我评估技能值得进一步关注。
