“唉，我没通过，但我完全不知道为什么”……：眼科高风险总结性专科医学考试后的反馈经历
"Well I Failed, but I Have No Idea Why"…: Experiences of Feedback After High-Stakes Summative Specialist Medical Examination in Ophthalmology.
作者信息
Jessup Belinda, Allen Penny, Kirschbaum Melissa, Khanal Santosh, Baker-Smith Victoria, Graham Barnabas, Barnett Tony
机构信息
Centre for Rural Health, College of Health and Medicine, University of Tasmania, Launceston, Australia.
Rural Clinical School, College of Health and Medicine, University of Tasmania, Burnie, Australia.
出版信息
J Med Educ Curric Dev. 2024 Nov 3;11:23821205241286288. doi: 10.1177/23821205241286288. eCollection 2024 Jan-Dec.
OBJECTIVE
Medical specialist trainees report dissatisfaction with both the usefulness and timing of feedback provided following summative examinations. This study aimed to explore ophthalmology trainee and supervisor experiences of feedback following final summative examination (the Royal Australian and New Zealand College of Ophthalmologists Advanced Clinical Examination (RACE)).
METHODS
Semi-structured interviews were undertaken with ophthalmology trainees who had recently sat RACE (2017-2021) ( = 19) and supervising ophthalmologists who support trainees to prepare for RACE ( = 10). Interview data were thematically analyzed.
RESULTS
Two themes were identified. related to trainee experiences receiving feedback relating to examination performance that was insufficient and unhelpful in identifying gaps in learning, explaining the reasons for failure and supporting preparation for resitting. encompassed trainee and supervisor concerns regarding the inability to review examination manuscripts after sitting the examination, the absence of marking criteria, rubrics and model answers to understand the passing standard and the lack of opportunity to discuss performance with examiners.
CONCLUSIONS
Detailed, individualized task-level and process-level feedback on examination performance is needed for all trainees. Opportunities to view examination manuscripts, marking criteria and model answers, as well as speak with examiners, would improve transparency of the assessment process, enhance feedback and improve trainee success.
目的
医学专科培训生对结业考试后提供的反馈的实用性和及时性都表示不满。本研究旨在探讨眼科培训生和督导人员在最终结业考试（澳大利亚和新西兰皇家眼科医学院高级临床考试（RACE））后对反馈的体验。
方法
对最近参加过RACE考试（2017 - 2021年）的眼科培训生（n = 19）和支持培训生准备RACE考试的眼科督导人员（n = 10）进行了半结构化访谈。对访谈数据进行了主题分析。
结果
确定了两个主题。一个与培训生收到的关于考试表现的反馈有关，这种反馈不足且无助于发现学习差距、解释失败原因和支持重考准备。另一个主题包括培训生和督导人员对考试后无法查阅考试答卷、缺乏评分标准、评分细则和标准答案以了解及格标准以及缺乏与考官讨论成绩的机会的担忧。
结论
所有培训生都需要关于考试表现的详细、个性化的任务层面和过程层面的反馈。查看考试答卷、评分标准和标准答案以及与考官交谈的机会将提高评估过程的透明度，增强反馈并提高培训生的成功率。
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