Gosman Amanda, Mann Karen, Reid Christopher M, Vedder Nicholas B, Janis Jeffrey E
San Diego, Calif.; Halifax, Nova Scotia, Canada; Seattle, Wash.; and Columbus, Ohio From the Division of Plastic Surgery, University of California, San Diego; the Division of Medical Education, Faculty of Medicine, Dalhousie University; the Division of Plastic Surgery, University of Washington; and the Department of Plastic Surgery, The Ohio State University Medical Center.
Plast Reconstr Surg. 2016 Mar;137(3):617e-623e. doi: 10.1097/01.prs.0000479968.76438.27.
Principles of effective assessment have become increasingly popular topics in graduate medical education. Changes in the structure of plastic surgery training demand a thorough understanding of the state-of-the-art in assessing surgical trainees. Moreover, the authors' understanding of different domains and methods of assessment and the available tools continues to grow.
The authors reviewed the available literature regarding assessment in graduate medical education, specifically as it pertains to plastic surgery. In addition, the authors present principles of effective assessment and report on the currently available assessment methods.
Assessment is multifaceted and impacts everyone, not just the individual learner. For assessments to be useful, they need to possess validity and reliability. Moreover, there is a necessary pragmatism limiting different methods and tools for assessing learners. Some types of assessment are universally familiar and include examples such as written examinations and procedural logs. Other emerging areas that are actively being researched involve simulation, nontechnical skills, and procedure-specific technical assessments.
Updating the thoroughness and multidimensionality with which plastic surgery trainees are assessed is an evolving area and one that is ripe for continued research.
有效评估原则在毕业后医学教育中已成为越来越热门的话题。整形外科学培训结构的变化要求全面了解评估外科住院医师的最新技术。此外，作者对评估的不同领域、方法及可用工具的理解也在不断加深。
作者回顾了毕业后医学教育中有关评估的现有文献，特别是与整形外科学相关的文献。此外，作者介绍了有效评估的原则，并报告了当前可用的评估方法。
评估是多方面的，影响到每个人，而不仅仅是个体学习者。为使评估有用，它们需要具备效度和信度。此外，存在一种必要的务实态度，限制了用于评估学习者的不同方法和工具。某些类型的评估广为人知，包括笔试和操作记录等例子。其他正在积极研究的新兴领域涉及模拟、非技术技能和特定手术的技术评估。
更新对整形外科学住院医师评估的全面性和多维性是一个不断发展的领域，也是一个有待继续深入研究的成熟领域。
