成绩通胀与内科实习：对临床实习主任的全国性调查
Grade inflation and the internal medicine subinternship: a national survey of clerkship directors.
作者信息
Cacamese Suzanne M, Elnicki Michael, Speer Alice J
机构信息
Internal Medicine, Greater Baltimore Medical Center, Baltimore, Maryland 21204, USA.
出版信息
Teach Learn Med. 2007 Fall;19(4):343-6. doi: 10.1080/10401330701542529.
BACKGROUND
Grade inflation has been demonstrated in certain medical school clerkships but never studied in the internal medicine subinternship.
PURPOSES
The purpose is to determine the existence, extent, and possible causes of subinternship grade inflation.
METHODS
We surveyed clerkship directors as part of the 2004 Clerkship Directors in Internal Medicine national member survey.
RESULTS
The majority of clerkship directors agree that subinternship grade inflation exists. Half of SI students receive Honors and one third receive High Pass. Eighteen percent admitted passing a student that they felt should have failed. Difficulty delivering negative feedback is the top explanation for grade inflation.
CONCLUSION
Clerkship directors agree that grade inflation exists in the internal medicine subinternship. Faculty development and further analysis of our current subinternship evaluation and grading system may help to minimize this problem.
背景
成绩通胀已在某些医学院的临床实习中得到证实，但从未在内科实习中进行过研究。
目的
确定实习成绩通胀的存在情况、程度及可能原因。
方法
作为2004年内科临床实习主任全国会员调查的一部分，我们对临床实习主任进行了调查。
结果
大多数临床实习主任认同实习成绩存在通胀现象。一半的实习学生获得优等成绩，三分之一获得高分通过。18%的人承认让他们认为本应不及格的学生通过了考核。难以给出负面反馈是成绩通胀的首要解释。
结论
临床实习主任们认同内科实习存在成绩通胀现象。教师培训以及对我们当前实习评估和评分系统的进一步分析可能有助于将这一问题降至最低。
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