Faculty of Medicine, University of Ottawa, 850 Peter Morand Crescent, Ottawa, ON, K1G-5Z3, Canada.
Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.
Adv Health Sci Educ Theory Pract. 2024 Sep;29(4):1155-1168. doi: 10.1007/s10459-023-10302-2. Epub 2023 Nov 27.
First impressions can influence rater-based judgments but their contribution to rater bias is unclear. Research suggests raters can overcome first impressions in experimental exam contexts with explicit first impressions, but these findings may not generalize to a workplace context with implicit first impressions. The study had two aims. First, to assess if first impressions affect raters' judgments when workplace performance changes. Second, whether explicitly stating these impressions affects subsequent ratings compared to implicitly-formed first impressions. Physician raters viewed six videos where learner performance either changed (Strong to Weak or Weak to Strong) or remained consistent. Raters were assigned two groups. Group one (n = 23, Explicit) made a first impression global rating (FIGR), then scored learners using the Mini-CEX. Group two (n = 22, Implicit) scored learners at the end of the video solely with the Mini-CEX. For the Explicit group, in the Strong to Weak condition, the FIGR (M = 5.94) was higher than the Mini-CEX Global rating (GR) (M = 3.02, p < .001). In the Weak to Strong condition, the FIGR (M = 2.44) was lower than the Mini-CEX GR (M = 3.96 p < .001). There was no difference between the FIGR and the Mini-CEX GR in the consistent condition (M = 6.61, M = 6.65 respectively, p = .84). There were no statistically significant differences in any of the conditions when comparing both groups' Mini-CEX GR. Therefore, raters adjusted their judgments based on the learners' performances. Furthermore, raters who made their first impressions explicit showed similar rater bias to raters who followed a more naturalistic process.
第一印象会影响基于评分者的判断,但它们对评分者偏差的贡献尚不清楚。研究表明,在有明确第一印象的实验考试情境中,评分者可以克服第一印象,但这些发现可能不适用于具有隐含第一印象的工作场所情境。本研究有两个目的。首先,评估工作绩效变化时,第一印象是否会影响评分者的判断。其次,明确陈述这些印象是否会影响后续评分,与隐含形成的第一印象相比。医师评分者观看了六个视频,学习者的表现要么发生变化(从强到弱或从弱到强),要么保持不变。评分者被分为两组。第一组(n=23,显性)先进行整体印象评分(FIGR),然后使用 Mini-CEX 对学习者进行评分。第二组(n=22,隐性)仅在视频结束时使用 Mini-CEX 对学习者进行评分。对于显性组,在从强到弱的条件下,FIGR(M=5.94)高于 Mini-CEX 整体评分(GR)(M=3.02,p<0.001)。在从弱到强的条件下,FIGR(M=2.44)低于 Mini-CEX GR(M=3.96,p<0.001)。在一致的条件下,FIGR 与 Mini-CEX GR 之间没有差异(M=6.61,M=6.65,p=0.84)。在比较两组 Mini-CEX GR 时,任何情况下两组的差异均无统计学意义。因此,评分者根据学习者的表现调整了他们的判断。此外,明确表达第一印象的评分者表现出与遵循更自然主义过程的评分者相似的评分者偏差。