Christie Carole, Bowen Denise, Paarmann Carlene
Department of Dental Hygiene, Idaho State University, Box 8048, Pocatello, ID 83209, USA.
J Dent Educ. 2007 Aug;71(8):1048-57.
This study evaluated the short- and long-term effectiveness of faculty training to enhance clinical evaluation of ethical reasoning and professionalism in a baccalaureate dental hygiene program. Ethics, values, and professionalism are best measured in contexts comparable to practice; therefore, authentic evaluation is desirable for assessing these areas of competence. Methods were the following: 1) a faculty development workshop implementing a core values-based clinical evaluation system for assessing students' professional judgment; 2) subsequent evaluation of the clinical faculty's use of core values for grading and providing written comments related to students' professional judgment during patient care for three academic years; and 3) evaluation of program outcomes assessments regarding clinical learning experiences related to ethics and professionalism domains. Results revealed the clinical faculty's evaluation of professional judgment during patient care was enhanced by training; written comments more frequently related to core values defined in the American Dental Hygienists' Association (ADHA) Code of Ethics; and faculty members reported more confidence and comfort evaluating professional judgment after implementation of this evaluation system and receiving training in its application. Students were more positive in outcomes assessments about their competency and learning experiences related to professionalism and ethics. This article shares one approach for enhancing clinical faculty's authentic evaluation of student competence in ethical reasoning and professionalism.
本研究评估了在本科口腔卫生专业项目中,教师培训对加强伦理推理和专业素养临床评估的短期和长期效果。伦理、价值观和专业素养最好在与实践相当的情境中进行衡量;因此,进行真实评估对于评估这些能力领域是可取的。方法如下:1)举办一次教师发展研讨会,实施一个基于核心价值观的临床评估系统,以评估学生的专业判断;2)随后对临床教师在三个学年的患者护理过程中使用核心价值观进行评分并提供与学生专业判断相关书面评语的情况进行评估;3)对与伦理和专业素养领域相关的临床学习经历的项目成果评估进行评估。结果显示,培训提高了临床教师在患者护理过程中对专业判断的评估能力;书面评语更频繁地涉及美国口腔卫生师协会(ADHA)《职业道德规范》中定义的核心价值观;教师们报告称,在实施该评估系统并接受其应用培训后,他们在评估专业判断时更有信心且更自在。学生们在成果评估中对与专业素养和伦理相关的能力及学习经历更为积极。本文分享了一种加强临床教师对学生伦理推理和专业素养能力进行真实评估的方法。