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处理评估学习者时的不确定性的十二点临床医生建议。

Twelve tips for clinicians dealing with uncertainty when assessing learners.

机构信息

Centre for Health Education Scholarship (CHES), Department of Family Science, Faculty of Medicine, University of British Columbia , Canada.

University Hospital of Northern British Columbia, Prince George, British Columbia , Canada.

出版信息

Med Teach. 2019 Aug;41(8):888-894. doi: 10.1080/0142159X.2018.1494381. Epub 2018 Oct 9.

Abstract

Clinician educators often experience distress caused by uncertainty regarding how effectively to participate in assessment practices in a way that supports both their programs and their students. Uncertainty is a common state for clinicians, particularly for those who see patients with early or ill-defined illness presentations. While clinicians often feel ill at ease when facing uncertainty in the clinical realm, becoming comfortable with uncertainty and learning to manage such states are now recognized as vital components of clinical practice. Clinicians, as a result, have adopted a series of strategies to lessen the unease that uncertainty can create. While similar experiences plague clinician educators placed in assessment roles, much less attention has been given to how we can support individuals in the education setting. Here, the distress of uncertainty may be greater due to clinician educators having less experience with assessment practices. Fortunately, strategies that are effective in the clinical domain can be translated into the assessment realm to accommodate uncertainty when assessing learners. In this 12 tips article we offer guidance on the translation of such strategies.

摘要

临床教育者在参与评估实践时,常常会因为不确定如何有效地支持他们的课程和学生而感到苦恼。不确定性是临床医生的常见状态,特别是对于那些看到早期或定义不明确的疾病表现的患者的医生。虽然临床医生在面对临床领域的不确定性时常常感到不安,但现在人们认识到,适应不确定性和学会管理这种状态是临床实践的重要组成部分。因此,临床医生已经采用了一系列策略来减轻不确定性可能带来的不适。虽然类似的经历困扰着担任评估角色的临床教育者,但对于如何在教育环境中支持个人,关注的程度要低得多。在这里,由于临床教育者在评估实践方面经验较少,不确定性带来的困扰可能更大。幸运的是,在临床领域有效的策略可以转化为评估领域,以适应评估学习者时的不确定性。在这篇 12 点建议的文章中,我们提供了有关将这些策略转化为评估领域的指导。

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