Gerritsma J G, Smal J A
Department of Medical Education Research and Development, Utrecht, The Netherlands.
Med Educ. 1988 Mar;22(2):118-23. doi: 10.1111/j.1365-2923.1988.tb00421.x.
An interactive patient simulation for the study of medical decision-making was developed which is basically a flexible question and answer simulation between a doctor and a simulator conducting the simulation. To insure a thorough insight into the management of cases over time, provisions were made for doctors to interact with the simulated patients as many as five times. The simulation was tested on 16 family doctors and 16 specialist physicians to evaluate its realism and construct validity. The realism scores were highly favourable for both groups. With regard to construct validity, the hypothesis that the two specialty groups would manifest themselves in decision-making as distinct and homogeneous groups was tested. This hypothesis was confirmed in the case of specialist physicians, but not in the case of family doctors.
开发了一种用于医学决策研究的交互式患者模拟程序，它本质上是医生与进行模拟的模拟器之间灵活的问答模拟。为了确保随着时间的推移能全面深入地了解病例管理情况，规定医生可与模拟患者进行多达五次的互动。该模拟程序在16名家庭医生和16名专科医生身上进行了测试，以评估其真实性和结构效度。两组的真实性得分都非常不错。关于结构效度，对两个专业组在决策过程中会表现为不同且同质的组这一假设进行了测试。这一假设在专科医生组得到了证实，但在家庭医生组未得到证实。
