Forest Chrisptopher P, Lie Désirée A, Ma Sae Byul Sarah
Assistant Professor of Clinical Family Medicine, Department of Family Medicine, Keck School of Medicine of the University of Southern California.
Director of Research, Division of Physician Assistant Studies, Keck School of Medicine of the University of Southern California.
MedEdPORTAL. 2016 Aug 26;12:10447. doi: 10.15766/mep_2374-8265.10447.
Reliable team assessment has become a priority because of growing emphasis on interprofessional education and team-based care. Objective rating scales are needed to evaluate interprofessional student teams and individuals and provide real-time feedback.
In response to a need for behavioral rating scales, we modified the McMaster-Ottawa Scale from a 9-point to a 3-point scale and added descriptive behavioral anchors to define three levels of competency (i.e., below, at, and above expected). This modification is intended to provide consistent rating of individuals and teams in patient settings. We then developed a demonstration video using actors representing four professions to demonstrate the three levels of performance within the team. Our faculty rater tool, consisting of the modified scale and video, is designed to provide standardized ratings in interprofessional educational settings that involve patient care.
We conducted training sessions with 40 faculty members from seven professions (medicine, dentistry, occupational therapy, nursing, pharmacy, physician assistant, and psychology) over a 2-year period. Immediately after each training session, two trained faculty observers rated interprofessional student teams as they conducted history and assessments on standardized patients. Observer scores were compared with one another and with standard expert ratings of the same teams. Trained observer ratings were consistent across the pairs. The observer training can be conducted within 60-90 minutes with the tool.
Results of our implementation of the faculty rater tool confirm that the modified McMaster-Ottawa Scale is feasible to administer in clinical settings and that the demonstration video can be easily adopted for standardizing observer ratings.
由于对跨专业教育和团队式护理的日益重视,可靠的团队评估已成为当务之急。需要客观的评分量表来评估跨专业学生团队和个人,并提供实时反馈。
为满足对行为评分量表的需求,我们将麦克马斯特-渥太华量表从9分制改为3分制,并添加了描述性行为锚点来定义三个能力水平(即低于预期、达到预期和高于预期)。此修改旨在在患者环境中对个人和团队进行一致的评分。然后,我们制作了一个演示视频,由代表四个专业的演员展示团队内的三个表现水平。我们的教师评分工具由修改后的量表和视频组成,旨在为涉及患者护理的跨专业教育环境提供标准化评分。
在两年时间里,我们对来自七个专业(医学、牙科、职业治疗、护理、药学、医师助理和心理学)的40名教师进行了培训。每次培训结束后,两名经过培训的教师观察员对跨专业学生团队在对标准化患者进行病史采集和评估时进行评分。将观察员的分数相互比较,并与同一团队的标准专家评分进行比较。经过培训的观察员评分在各对之间是一致的。使用该工具,观察员培训可在60至90分钟内完成。
我们实施教师评分工具的结果证实,修改后的麦克马斯特-渥太华量表在临床环境中实施是可行的,并且演示视频可以很容易地用于使观察员评分标准化。