医学实习中客观考试的使用。十年经验。

Use of objective examinations in medicine clerkships. Ten-year experience.

作者信息

Ramsey P G, Shannon N F, Fleming L, Wenrich M, Peckham P D, Dale D C

出版信息

Am J Med. 1986 Oct;81(4):669-74. doi: 10.1016/0002-9343(86)90555-3.

Abstract

Student performance during the internal medicine clerkship at the University of Washington School of Medicine has been evaluated by clinical ratings and a written examination containing multiple-choice questions and patient management problems for the past 10 years. Measures of the correlation among the evaluation methods were determined by analyzing data from 1,544 students. The correlations of clinical ratings with the total examination score (r = 0.27), multiple-choice questions (r = 0.23), and patient management problems (r = 0.19) suggest that clinical ratings alone are not adequate for measuring student progress. The relationships of evaluation methods used in the medicine clerkship to other measures of performance such as selection to Alpha Omega Alpha and National Board examinations were also determined. The ability to predict student performance was enhanced considerably when the results of the clerkship examination were considered in addition to clinical ratings. These data suggest that a comprehensive assessment of student performance in medicine clerkships should include written examinations in addition to clinical ratings.

摘要

在过去10年里，华盛顿大学医学院内科实习期间的学生表现通过临床评分以及一场包含多项选择题和患者管理问题的笔试进行评估。通过分析1544名学生的数据来确定评估方法之间的相关性度量。临床评分与考试总成绩（r = 0.27）、多项选择题（r = 0.23）以及患者管理问题（r = 0.19）之间的相关性表明，仅靠临床评分不足以衡量学生的进步。还确定了内科实习中使用的评估方法与其他表现衡量指标（如入选Alpha Omega Alpha以及国家医师资格考试）之间的关系。除临床评分外，若将实习考试结果也考虑在内，预测学生表现的能力会大幅提高。这些数据表明，对内科实习学生表现的全面评估除临床评分外还应包括笔试。