Musial Joseph L, Rubinfeld Ilan S, Parker Alton O, Reickert Craig A, Adams Sarah A, Rao Sishir, Shepard Alexander D
Department of Surgery, Henry Ford Hospital, Detroit, Michigan 48202, USA.
J Surg Res. 2007 Oct;142(2):304-7. doi: 10.1016/j.jss.2007.03.060. Epub 2007 Aug 23.
A requirement for all Accreditation Council for Graduate Medical Education (ACGME) approved residencies is the provision of "an opportunity for residents to participate in research." To comply with this requirement, most training programs encourage their residents to conduct research and to report their results. Few guidelines exist, however, for assessing the efficacy of the presentations. The goal of this pilot study was to develop a valid, one-page scoring rubric to be used during oral resident research presentations. Such a scoring rubric will facilitate acceptable agreement among faculty raters.
Content validity was addressed by adhering to the Standards for Educational and Psychological Testing. A one-page, five-domain, behaviorally worded scoring rubric was developed. Inter-rater reliability was derived and three ACGME General Competencies were also addressed within the rubric.
The initial scoring rubric was tested with 11 resident oral presentations. The inter-rater reliability was 0.56 using Cronbach's alpha. The rubric was modified and the scale restricted to a 3-point scale. It was then tested with 17 additional presentations, which were independently rated by two general surgery faculty members. Cronbach's Alpha increased to 0.61.
An objective method to evaluate a resident's oral research presentation has been successfully piloted. This content valid rubric possesses good inter-rater reliability according to established guidelines. Clearly defined behaviors have been outlined within the rubric. Program directors will have psychometrically sound evidence for the ACGME. Future research will address generalizability and concurrent validity using other types of resident assessment data.
研究生医学教育认证委员会(ACGME)批准的所有住院医师培训项目都要求提供“让住院医师参与研究的机会”。为了符合这一要求,大多数培训项目鼓励其住院医师开展研究并汇报结果。然而,对于评估汇报的有效性,几乎没有相关指南。这项试点研究的目的是制定一份有效的单页评分量表,用于住院医师研究口头汇报期间。这样的评分量表将有助于教员评分者之间达成可接受的共识。
通过遵循教育和心理测试标准来解决内容效度问题。制定了一份单页、包含五个领域、以行为描述的评分量表。得出了评分者间信度,并且在量表中也涉及了ACGME的三项通用能力。
最初的评分量表在11次住院医师口头汇报中进行了测试。使用克朗巴赫α系数得出评分者间信度为0.56。对量表进行了修改,并将评分范围限定为3分制。然后又用另外17次汇报进行了测试,由两名普通外科教员独立评分。克朗巴赫α系数提高到了0.61。
一种评估住院医师口头研究汇报的客观方法已成功进行了试点。根据既定指南,这份内容有效的量表具有良好的评分者间信度。量表中已明确列出了各项行为。项目主任将为ACGME提供心理测量学上可靠的证据。未来的研究将使用其他类型的住院医师评估数据来探讨普遍性和同时效度。