Schoenmakers Birgitte, Wens Johan
Department of Public Health and Primary Care, University of Leuven, 3000 Leuven, Belgium.
Department of Public Health and Primary Care, University of Antwerp, Antwerp, Belgium.
J Family Med Prim Care. 2018 Jan-Feb;7(1):58-63. doi: 10.4103/jfmpc.jfmpc_163_17.
In Belgium, there are no family medicine admission requirements. A three-phase admission program is developed and implemented by the collaboration of four involved universities.
A pilot testing of phase 2, comprising actual proficiency test, is designed as answer to two research questions: What is the validity and reliability of a multicomponent proficiency test? How does a multicomponent proficiency test proportionate to the final grades of family medicine master candidates?
The population consisted of all last master-phase students applying for family medicine education in Flanders. Students completed a machine-assisted test on knowledge and situational judgment skills and evidence-based medicine appraisal.
In total, 322 students completed the test. A regression analysis measuring the relationship between the master grades and the test score revealed an odds ratio of 1.1. Analysis of variance showed that the differences were significant between the upper quartile and the lowest quartile of the test results. A qualitative appraisal of the test results showed that the highest and lowest quartiles of the full-test score included the students who were, respectively, known as "very good" or "very poor."
The test scores were in agreement with the performance and profiling of the participating students. The test succeeded in identifying poor-performing students and in confirming competences of the average- and high-performing students. In the future, retesting will add to the statements on reliability and will refine the test construction. Follow-up will address validity.
在比利时，没有家庭医学入学要求。一个由四所相关大学合作制定并实施的三阶段入学计划。
第二阶段的试点测试，包括实际能力测试，旨在回答两个研究问题：多组分能力测试的效度和信度如何？多组分能力测试与家庭医学硕士候选人的最终成绩如何相称？
研究对象为所有申请弗拉芒地区家庭医学教育的最后一阶段硕士研究生。学生们完成了一项关于知识、情境判断技能和循证医学评估的机器辅助测试。
共有322名学生完成了测试。测量硕士成绩与测试分数之间关系的回归分析显示优势比为1.1。方差分析表明，测试结果的上四分位数和下四分位数之间存在显著差异。对测试结果的定性评估表明，全测试分数的最高和最低四分位数分别包括被认为“非常优秀”或“非常差”的学生。
测试分数与参与学生的表现和概况相符。该测试成功地识别出表现不佳的学生，并确认了中等和优秀学生的能力。未来，重新测试将补充关于信度的陈述，并完善测试结构。后续将探讨效度。
