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验证一套旨在评估儿科住院医师培训项目感知质量的工具。

Validating a set of tools designed to assess the perceived quality of training of pediatric residency programs.

作者信息

Da Dalt Liviana, Anselmi Pasquale, Furlan Sara, Carraro Silvia, Baraldi Eugenio, Robusto Egidio, Perilongo Giorgio

机构信息

Paediatric Residency Program, Department of Woman's and Child's Health, University of Padua, Via Giustiniani 3 - 35128, Padua, Italy.

Department FISPPA, University of Padua, Padua, Italy.

出版信息

Ital J Pediatr. 2015 Jan 20;41:2. doi: 10.1186/s13052-014-0106-2.

DOI:10.1186/s13052-014-0106-2
PMID:25599713
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4339004/
Abstract

BACKGROUND

The Paediatric Residency Program (PRP) of Padua, Italy, developed a set of questionnaires to assess the quality of the training provided by each faculty member, the quality of the professional experience the residents experienced during the various rotations and the functioning of the Resident Affair Committee (RAC), named respectively: "Tutor Assessment Questionnaire" (TAQ), "Rotation Assessment Questionnaire" (RAQ), and RAC Assessment Questionnaire". The process that brought to their validation are herein presented.

METHOD

Between July 2012 and July 2013, 51 residents evaluated 26 tutors through the TAQ, and 25 rotations through the RAQ. Forty-eight residents filled the RAC Assessment Questionnaire. The three questionnaires were validated through a many-facet Rasch measurement analysis.

RESULTS

In their final form, the questionnaires produced measures that were valid, reliable, unidimensional, and free from gender biases. TAQ and RAQ distinguished tutors and rotations into 5-6 levels of different quality and effectiveness. The three questionnaires allowed the identification of strengths and weaknesses of tutors, rotations, and RAC. The agreement observed among judges was coherent to the predicted values, suggesting that no particular training is required for developing a shared interpretation of the items.

CONCLUSIONS

The work herein presented serves to enrich the armamentarium of tools that resident medical programs can use to monitor their functioning. A larger application of these tools will serve to consolidate and refine further the results presented.

摘要

背景

意大利帕多瓦的儿科住院医师培训项目(PRP)开发了一系列问卷,以评估每位教员提供的培训质量、住院医师在各个轮转期间所经历的专业体验质量以及住院医师事务委员会(RAC)的运作情况,这些问卷分别名为:“导师评估问卷”(TAQ)、“轮转评估问卷”(RAQ)和RAC评估问卷。本文介绍了这些问卷的验证过程。

方法

在2012年7月至2013年7月期间,51名住院医师通过TAQ对26名导师进行了评估,并通过RAQ对25个轮转进行了评估。48名住院医师填写了RAC评估问卷。这三份问卷通过多面Rasch测量分析进行了验证。

结果

在最终形式下,这些问卷产生的测量结果是有效、可靠、单维的,且无性别偏差。TAQ和RAQ将导师和轮转分为5 - 6个不同质量和效果的等级。这三份问卷能够识别导师、轮转和RAC的优势与不足。评委之间观察到的一致性与预测值相符,这表明在对项目形成共同解释方面不需要特别的培训。

结论

本文介绍的工作有助于丰富住院医师培训项目可用于监测其运作的工具库。这些工具的更广泛应用将有助于巩固和进一步完善所呈现的结果。