Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Patient Educ Couns. 2012 Oct;89(1):199-204. doi: 10.1016/j.pec.2012.06.028. Epub 2012 Jul 15.
In medical education the focus has shifted from gaining knowledge to developing competencies. To effectively monitor performance in practice throughout the entire training, a new approach of assessment is needed. This study aimed to evaluate an instrument that monitors the development of competencies during postgraduate training in the setting of training of general practice: the Competency Assessment List (Compass).
The distribution of scores, reliability, validity, responsiveness and feasibility of the Compass were evaluated.
Scores of the Compass ranged from 1 to 9 on a 10-point scale, showing excellent internal consistency ranging from .89 to .94. Most trainees showed improving ratings during training. Medium to large effect sizes (.31-1.41) were demonstrated when we compared mean scores of three consecutive periods. Content validity of the Compass was supported by the results of a qualitative study using the RAND modified Delphi Method. The feasibility of the Compass was demonstrated.
The Compass is a competency based instrument that shows in a reliable and valid way trainees' progress towards the standard of performance.
The programmatic approach of the Compass could be applied in other specialties provided that the instrument is tailored to specific needs of that specialism.
在医学教育中，重点已经从获取知识转移到发展能力上。为了在整个培训过程中有效地监测实践中的表现，需要一种新的评估方法。本研究旨在评估一种工具，即能力评估清单（Compass），以监测普通医学培训背景下研究生培训中的能力发展。
评估了 Compass 的得分分布、信度、效度、反应度和可行性。
Compass 的分数在 10 分制上的范围为 1 到 9，显示出极好的内部一致性，范围从.89 到.94。大多数受训者在培训过程中表现出评分提高。当我们比较三个连续阶段的平均分数时，显示出中等至较大的效应量（.31-1.41）。使用 RAND 修改后的 Delphi 方法进行的定性研究结果支持了 Compass 的内容效度。Compass 的可行性得到了证明。
Compass 是一种基于能力的工具，以可靠和有效的方式展示了受训者在达到表现标准方面的进展。
只要对该工具进行定制以满足该专业的特定需求，Compass 的计划方法就可以应用于其他专业。
