Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD 21210, USA.
Teach Learn Med. 2013;25(1):31-8. doi: 10.1080/10401334.2012.741537.
Composing and delivering effective oral case presentations is an important skill for medical students to learn, but the large variety of patients and presenting problems makes teaching and evaluating this skill complex. Few published tools are available for educators to use, and those that are described are not well studied.
The authors describe the development of the Patient Presentation Rating tool and the study to establish its interrater reliability.
Three raters reviewed 15 recorded new patient presentations delivered by 3rd-year medical students on their pediatrics clerkship. Intraclass correlation coefficients were used to determine the interrater reliability of the tool as a whole, its subsections, and each individual item.
The tool was found to reliably rate the technical aspects of presenting patients as well as several aspects of clinical reasoning embedded in that process.
The Patient Presentation Rating tool is a reliable instrument for evaluating medical students' oral patient presentations.
对于医学生来说,撰写并进行有效的口头病例汇报是一项重要技能,但由于患者和汇报问题的多样性,使得该技能的教学和评估变得复杂。可供教育工作者使用的工具很少,而且已有的工具也没有经过很好的研究。
作者描述了患者汇报评分工具的开发过程,以及为建立其评分者间信度而进行的研究。
3 位评分者回顾了 15 名三年级医学生在儿科学实习期间所做的 15 个新患者汇报的录像。使用组内相关系数来确定整个工具、其各部分以及每个单独项目的评分者间信度。
该工具能够可靠地评估呈现患者的技术方面,以及该过程中嵌入的几个临床推理方面。
患者汇报评分工具是评估医学生口头患者汇报的可靠工具。