Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, 48109-5201, USA.
Am J Obstet Gynecol. 2011 May;204(5):384.e1-6. doi: 10.1016/j.ajog.2011.01.061. Epub 2011 Mar 9.
Validity refers to an evidence-based claim about the trustworthiness of decisions made from context-specific performance data. Validity requirements for competency-based assessments in obstetrics and gynecology have not been defined in the literature. We explain why validity is intrinsic to any discussion about competency assessment and provide a model for obstetrics and gynecology programs to use in determining the essential validity evidence for various forms of assessments. The implications of decisions made from assessment results influence the requisite level and precision of validity evidence. Although validity evidence is essential, it is also flexibly tied to the implications of decisions made from assessment results and not all assessments require the same degree of validity. We propose a model for considering validity, and build a discussion around specific assessment examples targeting progressive levels of expertise along the training continuum.
有效性是指基于特定情境下的绩效数据进行决策的可信度的一种基于证据的主张。在文献中，尚未定义妇产科基于能力的评估的有效性要求。我们解释了为什么有效性是任何关于能力评估的讨论的内在组成部分，并为妇产科项目提供了一个模型，以确定各种评估形式的基本有效性证据。从评估结果中做出的决策的影响决定了所需的有效性证据的水平和精确性。虽然有效性证据是必不可少的，但它也与从评估结果中做出的决策的影响紧密相关，并非所有评估都需要相同程度的有效性。我们提出了一个考虑有效性的模型，并围绕特定的评估示例展开讨论，这些示例针对培训连续体中逐步提高的专业水平。
