Taylor C, Lipsky M S
Family Practice Residency Program, Mercy Hospital, Toledo, Ohio.
Fam Med. 1990 Jul-Aug;22(4):296-8.
The ability of 22 faculty preceptors from three family practice programs to predict residents' cognitive levels was examined using the Composite and Clinical Set Problem scores of the American Board of Family Practice In-Training Exam (ITE) as standard measures. Seven of the 22 preceptors had significant positive correlations for both criterion measures, while seven of 22 did not correlate at a significant level for either. Examination of the two extreme groups found significantly different group means when the number of years of teaching experience was the dependent variable. The good predictors had 6.28 +/- SD 3.90 years of experience versus 2.71 +/- SD 2.02 years for low predictors. The authors conclude from these results that years of experience is an important factor in the preceptor's ability to assess cognitive levels. The authors speculate that the inability to accurately assess a trainee's knowledge may negatively affect resident-preceptor interactions.
以美国家庭医学委员会住院医师培训考试（ITE）的综合及临床案例问题分数作为标准度量，对来自三个家庭医疗项目的22名带教教师预测住院医师认知水平的能力进行了考察。22名带教教师中，7名在两项标准度量上均有显著正相关，而22名中有7名在任何一项上均无显著相关性。对两个极端组进行考察发现，当教学经验年限作为因变量时，两组的均值存在显著差异。预测能力强的教师有6.28±标准差3.90年的经验，而预测能力弱的教师有2.71±标准差2.02年的经验。作者从这些结果中得出结论，经验年限是带教教师评估认知水平能力的一个重要因素。作者推测，无法准确评估实习生的知识可能会对住院医师与带教教师的互动产生负面影响。
