丹麦环境下内科住院医师360度评估的应用：一项可行性研究。
Use of 360-degree assessment of residents in internal medicine in a Danish setting: a feasibility study.
作者信息
Allerup P, Aspegren K, Ejlersen E, Jørgensen G, Malchow-Møller A, Møller M K, Pedersen K K, Rasmussen O B, Rohold A, Sørensen B
机构信息
Faculty of Medicine, Postgraduate Deanery and Office of Medical Education, University of Southern Denmark, Odense, Denmark.
出版信息
Med Teach. 2007 Mar;29(2-3):166-70. doi: 10.1080/01421590701299256.
BACKGROUND
The aim of the study was to explore the feasibility of 360 degree assessment in early specialist training in a Danish setting. Present Danish postgraduate training requires assessment of specific learning objectives. Residency in Internal Medicine was chosen for the study. It has 65 learning objectives to be assessed. We considered 22 of these suitable for assessment by 360-degrees assessment.
METHODS
Medical departments of six hospitals contributed 42 interns to the study. Each resident was assessed by ten persons of whom one was a secretary, four were nurses and five senior doctors. The assessors spent 14.5 minutes (median) to fill in the forms.
RESULTS
Of the 22 chosen objectives, 15 could reliably be assessed by doctors, 7 by nurses and none by secretaries.
CONCLUSIONS
The method was practical in busy clinical departments and was well accepted by the assessors. Reliability of the method was acceptable. It discrimintated satisfactorily between the good and not so good performers.
背景
本研究旨在探讨在丹麦环境下360度评估在早期专科培训中的可行性。目前丹麦的研究生培训需要对特定的学习目标进行评估。本研究选择了内科住院医师培训。其有65个学习目标需要评估。我们认为其中22个适合通过360度评估进行评估。
方法
六家医院的医学科室为该研究贡献了42名实习生。每位住院医师由十个人进行评估，其中一人是秘书，四人是护士，五人是资深医生。评估者填写表格的时间中位数为14.5分钟。
结果
在所选的22个目标中，15个可以由医生可靠地评估，7个可以由护士评估，秘书无法评估任何目标。
结论
该方法在繁忙的临床科室中切实可行，并且评估者接受度良好。该方法的可靠性可以接受。它能够令人满意地区分表现好与表现不那么好的人。
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