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本科医学教育中职业行为的评估:同伴评估可提高表现。

Assessment of professional behaviour in undergraduate medical education: peer assessment enhances performance.

作者信息

Schönrock-Adema Johanna, Heijne-Penninga Marjolein, van Duijn Marijtje A J, Geertsma Jelle, Cohen-Schotanus Janke

机构信息

Center for Research and Innovation of Medical Education, University of Groningen and University Medical Center Groningen, Groningen, The Netherlands.

出版信息

Med Educ. 2007 Sep;41(9):836-42. doi: 10.1111/j.1365-2923.2007.02817.x. Epub 2007 Aug 1.

Abstract

OBJECTIVES

To examine whether peer assessment can enhance scores on professional behaviour, with the expectation that students who assess peers score more highly on professional behaviour than students who do not assess peers.

METHODS

Undergraduate medical students in their first and second trimesters were randomly assigned to conditions with or without peer assessment. Of the total group of 336 students, 278 students participated in the first trimester, distributed over 31 tutorial groups, 17 of which assessed peers. The second trimester involved 272 students distributed over 32 groups, 15 of which assessed peers. Professional behaviour was rated by tutors on 3 dimensions: Task Performance; Aspects of Communication, and Personal Performance. The rating scale ranged from 1 (poor) to 10 (excellent). Data were analysed using multivariate repeated measures multilevel analysis.

RESULTS

Assessment scores were found to have generally increased in the second trimester, especially the personal performance scores of students who assessed peers. In addition, female students were found to have significantly higher scores than male students.

CONCLUSIONS

In undergraduate medical education, peer assessment has a positive influence on professional behaviour. However, the results imply that peer assessment is only effective after students have become adjusted to the complex learning environment.

摘要

目的

研究同伴评估是否能提高专业行为得分,预期评估同伴的学生在专业行为方面的得分高于未评估同伴的学生。

方法

将本科医学一、二年级学生随机分为有或无同伴评估的组。在336名学生的总群体中,278名学生参与了第一学期的研究,分布在31个辅导小组中,其中17个小组评估同伴。第二学期有272名学生,分布在32个小组中,其中15个小组评估同伴。导师从三个维度对专业行为进行评分:任务表现;沟通方面;个人表现。评分量表从1(差)到10(优)。使用多变量重复测量多层次分析对数据进行分析。

结果

发现第二学期的评估得分普遍提高,尤其是评估同伴的学生的个人表现得分。此外,发现女生得分显著高于男生。

结论

在本科医学教育中,同伴评估对专业行为有积极影响。然而,结果表明同伴评估只有在学生适应复杂的学习环境后才有效。

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