Santonja-Medina Fernando, García-Sanz M Paz, Martínez-Martínez Francisco, Bó David, García-Estañ Joaquín
Faculty of Medicine, Department of Traumatology, University Hospital Virgen de la Arrixaca, Murcia, Spain; Faculty of Medicine, University Hospital Virgen de la Arrixaca, Murcia, Spain.
Faculty of Medicine, Department of Education, University Hospital Morales Meseguer, Murcia, Spain.
Adv Med Educ Pract. 2016 Feb 11;7:57-61. doi: 10.2147/AMEP.S91401. eCollection 2016.
This article investigates whether a reflexive portfolio is instrumental in determining the level of acquisition of clinical competences in traumatology, a subject in the 5th year of the degree of medicine. A total of 131 students used the portfolio during their clinical rotation of traumatology. The students' portfolios were blind evaluated by four professors who annotated the existence (yes/no) of 23 learning outcomes. The reliability of the portfolio was moderate, according to the kappa index (0.48), but the evaluation scores between evaluators were very similar. Considering the mean percentage, 59.8% of the students obtained all the competences established and only 13 of the 23 learning outcomes (56.5%) were fulfilled by >50% of the students. Our study suggests that the portfolio may be an important tool to quantitatively analyze the acquisition of traumatology competences of medical students, thus allowing the implementation of methods to improve its teaching.
本文探讨了反思性档案袋对于确定医学专业五年级创伤学临床能力的掌握水平是否具有帮助。共有131名学生在创伤学临床轮转期间使用了该档案袋。学生的档案袋由四位教授进行盲评，他们标注了23项学习成果的达成情况（是/否）。根据kappa指数（0.48），档案袋的可靠性为中等，但评估者之间的评分非常相似。考虑平均百分比，59.8%的学生获得了所有既定能力，并且23项学习成果中只有13项（56.5%）被超过50%的学生达成。我们的研究表明，档案袋可能是定量分析医学生创伤学能力掌握情况的重要工具，从而有助于实施改进教学的方法。
