Buckwalter J A
Orthop Clin North Am. 1986 Oct;17(4):629-36.
Valid, reliable evaluation of orthopedic knowledge is an essential part of our efforts to maintain a high quality of orthopedic practice and education. Current methods of evaluation have made important contributions to the field of orthopedics and will continue to do so, but they have limitations. Computers currently help score and interpret test results as well as evaluate test items. With the development of item banks, computers can aid in test and item construction. Development of a central computer item bank with appropriate programming for specialized test construction would allow computerized test administration on home computers. The most exciting potential contribution of computers to evaluation of orthopedic knowledge will be in the development of computer simulations. Computer simulations can closely replicate the processes of making a diagnosis, directing treatment, or planning and guiding the performance of a procedure and thereby overcome some limitations of current tests. Developing methods of measuring student performance on simulations and establishing the validity and reliability of simulations as evaluation instruments will require considerable effort, but they offer the promise of providing an important method of assessing orthopedic knowledge.
对骨科知识进行有效、可靠的评估是我们维持高质量骨科医疗实践和教育工作的重要组成部分。当前的评估方法已经对骨科领域做出了重要贡献，并将继续如此，但它们存在局限性。计算机目前有助于对测试结果进行评分和解读，以及评估测试项目。随着题库的发展，计算机可以辅助进行测试和项目构建。开发一个具有适用于专业测试构建的适当程序的中央计算机题库，将允许在家庭计算机上进行计算机化测试管理。计算机对骨科知识评估最令人兴奋的潜在贡献将在于计算机模拟的开发。计算机模拟可以紧密复制做出诊断、指导治疗或规划和指导手术操作的过程，从而克服当前测试的一些局限性。开发衡量学生在模拟测试中的表现的方法，并确立模拟作为评估工具的有效性和可靠性将需要付出巨大努力，但它们有望提供一种评估骨科知识的重要方法。
