Ross David, Schipper Shirley, Westbury Chris, Linh Banh Hoan, Loeffler Kim, Allan G Michael, Ross Shelley
Department of Family Medicine, University of Alberta.
Fam Med. 2016 Feb;48(2):121-6.
Our objective was to determine the relationship between critical thinking skills and objective measures of academic success in a family medicine residency program.
This prospective observational cohort study was set in a large Canadian family medicine residency program. Intervention was the California Critical Thinking Skills Test (CCTST), administered at three points in residency: upon entry, at mid-point, and at graduation. Results from the CCTST, Canadian Residency Matching Service file, and interview scores were compared to other measures of academic performance (Medical Colleges Admission Test [MCAT] and College of Family Physicians of Canada [CCFP] certification examination results).
For participants (n=60), significant positive correlations were found between critical thinking skills and performance on tests of knowledge. For the MCAT, CCTST scores correlated positively with full scores (n=24, r=0.57) as well as with each section score (verbal reasoning: r=0.59; physical sciences: r=0.64; biological sciences: r=0.54). For CCFP examination, CCTST correlated reliably with both sections (n=49, orals: r=0.34; short answer: r=0.47). Additionally, CCTST was a better predictor of performance on the CCFP exam than was the interview score at selection into the residency program (Fisher's r-to-z test, z=2.25).
Success on a critical thinking skills exam was found to predict success on family medicine certification examinations. Given that critical thinking skills appear to be stable throughout residency training, including an assessment of critical thinking in the selection process may help identify applicants more likely to be successful on final certification exam.
我们的目的是确定在家庭医学住院医师培训项目中批判性思维技能与学术成就客观指标之间的关系。
这项前瞻性观察性队列研究在加拿大一个大型家庭医学住院医师培训项目中进行。干预措施为加利福尼亚批判性思维技能测试（CCTST），在住院医师培训的三个时间点进行：入学时、中期和毕业时。将CCTST的结果、加拿大住院医师匹配服务档案和面试分数与其他学术表现指标（医学院入学考试[MCAT]和加拿大家庭医师学院[CCFP]认证考试结果）进行比较。
对于参与者（n = 60），发现批判性思维技能与知识测试成绩之间存在显著正相关。对于MCAT，CCTST分数与总分（n = 24，r = 0.57）以及各部分分数均呈正相关（语言推理：r = 0.59；物理科学：r = 0.64；生物科学：r = 0.54）。对于CCFP考试，CCTST与两个部分均有可靠的相关性（n = 49，口试：r = 0.34；简答题：r = 0.47）。此外，在预测CCFP考试成绩方面，CCTST比住院医师培训项目选拔时的面试分数更好（费舍尔r到z检验，z = 2.25）。
发现批判性思维技能考试的成功可以预测家庭医学认证考试的成功。鉴于批判性思维技能在整个住院医师培训过程中似乎是稳定的，在选拔过程中纳入批判性思维评估可能有助于识别更有可能在最终认证考试中取得成功的申请人。
