Malau-Aduli Bunmi S, Hays Richard B, Saad Shannon, D'Souza Karen
School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
James Cook University, Townsville, Queensland, Australia.
MedEdPublish (2016). 2025 Apr 14;14:21. doi: 10.12688/mep.20122.2. eCollection 2024.
Clinical assessors in pre-registration examinations have been shown to make decisions about student performance by drawing on two overlapping, yet slightly different perspectives: achieving academic learning outcomes, and contributing to clinical workplace function. The implication for senior medical students is that they should be aware that in 'final' clinical assessments they may be judged from both academic and workplace perspectives, where the emphasis may be on how well the candidate would fit into a clinical team, demonstrating reliability, trustworthiness, teachability and 'safety'.
This article presents 12 tips for how senior medical students may demonstrate progress towards achieving 'work readiness', and so improve performance in assessments close to graduation.
Clinical assessors may include judgment of how well the candidate might work as a junior member of a clinical team, particularly when candidates perform at the borderline level and where assessors are more experienced. This judgment is based on an impression of the student's demonstration of reliability, trustworthiness, patient safety and teachability. While the underpinning theory was explored in final OSCEs, the suggestions may also be relevant to workplace-based clinical learning and assessment.
Senior medical students should prepare for clinical assessments that will consider how they respond to professionally challenging workplace scenarios as well as essential knowledge and skills.
研究表明,预注册考试中的临床评估人员在评判学生表现时会借鉴两种相互重叠但略有不同的视角:实现学术学习成果以及对临床工作场所功能的贡献。这意味着高年级医学生应意识到,在“最终”临床评估中,他们可能会从学术和工作场所两个角度受到评判,重点可能在于候选人融入临床团队的能力,展现出可靠性、可信赖性、可教导性和“安全性”。
本文提出了12条建议,帮助高年级医学生展示在实现“工作就绪”方面的进展,从而在临近毕业的评估中提高表现。
临床评估人员可能会评判候选人作为临床团队初级成员的工作能力,尤其是当候选人处于及格边缘且评估人员经验更丰富时。这种评判基于对学生可靠性、可信赖性、患者安全和可教导性表现的印象。虽然在最终客观结构化临床考试中探讨了相关基础理论,但这些建议也可能适用于基于工作场所的临床学习和评估。
高年级医学生应为临床评估做好准备,评估将考量他们如何应对具有职业挑战性的工作场所情景以及必备的知识和技能。