Altmaier E M, Johnson S R, Tarico V S, Laube D
Division of Psychological and Quantitative Foundations, College of Education, University of Iowa, Iowa City.
Obstet Gynecol. 1988 Jul;72(1):126-30.
A critical aspect of any residency is the process of selection and evaluation. However, the research literature has failed to provide an adequate behavioral specification of performance components to assist in selection and evaluation decisions. In this investigation, we applied a widely accepted method of job analysis from personnel psychology, the critical incident technique, to define those behaviors and attitudes necessary for successful resident performance in obstetrics and gynecology. Nine mutually exclusive categories of behavior were identified, including conscientiousness, recognition of limits, confidence in skills and training, ability to handle crisis/emergency situations, integration of knowledge with practice, technical skills, relationships with staff, relationships with patients, and ethical actions. These categories appear to be reliable, as physician raters were able to sort incidents into appropriate categories with 94% reliability. Identification of these categories represents a beginning step toward determining necessary aspects of performance in a structured and replicable manner and toward defining these performance aspects in a manner that allows precise and reliable measurement.
任何住院医师培训项目的一个关键方面是选拔和评估过程。然而，研究文献未能提供足够的关于绩效组成部分的行为规范，以协助选拔和评估决策。在本调查中，我们应用了人事心理学中一种广泛接受的工作分析方法——关键事件技术，来确定妇产科住院医师成功表现所需的那些行为和态度。确定了九个相互排斥的行为类别，包括尽责性、对自身局限的认识、对技能和培训的信心、处理危机/紧急情况的能力、知识与实践的结合、技术技能、与工作人员的关系、与患者的关系以及道德行为。这些类别似乎是可靠的，因为医生评分者能够以94%的可靠性将事件归入适当的类别。识别这些类别是朝着以结构化和可复制的方式确定绩效的必要方面以及以允许精确和可靠测量的方式定义这些绩效方面迈出的第一步。
