Department of Medicine, Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, Canada.
Am J Phys Med Rehabil. 2011 Apr;90(4):330-5. doi: 10.1097/PHM.0b013e31820f9677.
The development of a process to select the best residents for training programs is challenging. There is a paucity of literature to support the implementation of an evidence-based approach or even best practice for program directors and selection committees. Although assessment of traditional academic markers such as clerkship grades and licensing examination scores can be helpful, these measures typically fail to capture performance in the noncognitive domains of medicine. In the specialty of physical medicine and rehabilitation, physician competencies such as communication, health advocacy, and managerial and collaborative skills are of particular importance, but these are often difficult to evaluate in admission interviews. Recent research on admission processes for medical schools has demonstrated reliability and validity of the "multiple mini-interview." The objective of our project was to develop and evaluate the multiple mini-interview for a physical medicine and rehabilitation residency training program, with a focus on assessment of the noncognitive physician competencies. We found that the process was feasible, time efficient, and cost-efficient and that there was good interrater reliability. The multiple mini-interview may be applied to other physical medicine and rehabilitation residency programs. Further research is needed to confirm reliability and determine validity.
制定一个选择最佳住院医师培训项目学员的流程极具挑战性。目前，针对项目主任和选拔委员会，缺乏支持实施循证方法或最佳实践的文献。虽然评估传统学术指标（如实习成绩和执照考试成绩）可能会有所帮助，但这些措施通常无法捕捉到医学中非认知领域的表现。在物理医学与康复专业中，沟通、健康倡导以及管理和协作技能等医师能力尤为重要，但这些能力在入院面试中往往难以评估。最近对医学院入学流程的研究证明了“多站式面试”的可靠性和有效性。我们项目的目标是为物理医学与康复住院医师培训项目开发和评估多站式面试，重点评估非认知型医师能力。我们发现该流程切实可行、省时高效且具有成本效益，并且评分者间具有良好的可靠性。多站式面试可应用于其他物理医学与康复住院医师培训项目。需要进一步的研究来确认可靠性并确定有效性。
