Bodgener Susan, Tavabie Abdol
Kent, Surrey and Sussex GP Deanery, UK.
Educ Prim Care. 2011 Jul;22(4):223-8. doi: 10.1080/14739879.2011.11494004.
Case-based discussion (CbD) is a workplace-based assessment which is used formatively to help develop a GP trainee's performance and which will also contribute to the judgement made on a trainee's competence at the end of their training. The views of GP trainers and trainee's in their final year of training were explored quantitively to identify if CbD was of value, its limitations and whether or not it could assess a trainee's performance. The results suggest as an isolated assessment it is not possible to fully assess performance. The feedback received by the trainee did encourage the learner to develop and an improvement in performance in subsequent assessments could be demonstrated. This, however, relied on the skills and confidence of the educator in giving feedback. Further work on the development of feedback skills need to be introduced for the benefits of this assessment to be maximised.
基于案例的讨论（CbD）是一种基于工作场所的评估，用于形成性地帮助全科医生培训学员提高表现，并且在培训结束时也将有助于对学员能力进行评判。对全科医生培训师和处于培训最后一年的学员的观点进行了定量探究，以确定CbD是否有价值、其局限性以及它是否能够评估学员的表现。结果表明，作为一种单独的评估，不可能全面评估表现。学员收到的反馈确实鼓励了学习者的发展，并且可以证明在后续评估中表现有所改善。然而，这依赖于教育工作者提供反馈的技能和信心。需要进一步开展关于反馈技能发展的工作，以使这种评估的益处最大化。
