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美国兽医协会医学学院会员机构(AAVMC)最后一年轮岗学生和教师对临床能力反馈和评估的体验横断面调查。

Cross-Sectional Survey of Student and Faculty Experiences with Feedback and Assessment of Clinical Competency on Final Year Rotations at American Association of Veterinary Medical Colleges (AAVMC) Member Institutions.

机构信息

School of Veterinary Science, Massey University, Private Bag 11-222 Palmerston North, 4442, New Zealand.

College of Veterinary Medicine, Iowa State University, 2270F Vet Med 1800 Christensen Drive, Ames, IA 50011-1134 USA.

出版信息

J Vet Med Educ. 2024 Apr;51(2):185-202. doi: 10.3138/jvme-2023-0015. Epub 2024 Feb 20.

Abstract

The clinical experiences, feedback, and assessment that veterinary students receive during final year rotations have a significant impact on whether they will achieve entry-level competency at the time of graduation. In this study, a cross-sectional survey was administered to American Association of Veterinary Medical Colleges (AAVMC) member institutions to collect baseline data about current feedback and assessment practices to identify key target areas for future research and educational interventions. Responses were received from 89 faculty and 155 students distributed across 25 universities. The results indicated that there are significant gaps between evidence-based approaches for delivering feedback and assessment and what was being implemented in practice. Most feedback was provided to students in the form of end-of-rotation evaluations sometimes several weeks to months after the rotation finished when faculty were unlikely to remember specific interactions with students and there were limited opportunities for students to demonstrate progress towards addressing identified concerns. Although the most valuable type of feedback identified by students was verbal feedback delivered shortly after clinical experiences, this method was often not used due to factors such as lack of time, poor learning environments within veterinary teaching hospitals, and lack of faculty training in delivering effective feedback. The results also indicated potential challenges with how non-technical domains of competence within the AAVMC Competency-Based Veterinary Education (CBVE) Framework are currently evaluated. Finding avenues to improve feedback and assessment processes in final year clinical settings is essential to ensure that veterinary students are adequately prepared for practice.

摘要

兽医学生在最后一年实习期间获得的临床经验、反馈和评估对他们毕业后是否能达到入门级能力水平有重大影响。在这项研究中,对美国兽医医学学院协会(AAVMC)成员机构进行了横断面调查,以收集关于当前反馈和评估实践的基线数据,确定未来研究和教育干预的关键目标领域。来自 25 所大学的 89 名教师和 155 名学生做出了回应。结果表明,提供反馈和评估的循证方法与实际实施之间存在显著差距。大多数反馈以轮结束时的评估形式提供给学生,有时在轮结束后数周到数月,此时教师不太可能记得与学生的具体互动,学生也没有机会展示在解决已确定问题方面的进展。尽管学生认为最有价值的反馈类型是在临床经验后不久提供的口头反馈,但由于缺乏时间、兽医教学医院内的学习环境不佳以及教师在提供有效反馈方面缺乏培训等因素,这种方法通常未被采用。研究结果还表明,目前在评估 AAVMC 基于能力的兽医教育(CBVE)框架内的非技术领域能力方面可能存在挑战。在最后一年的临床环境中找到改善反馈和评估过程的途径对于确保兽医学生为实践做好充分准备至关重要。

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