Newble D I, Elmslie R G, Baxter A
J Med Educ. 1978 Sep;53(9):720-6. doi: 10.1097/00001888-197809000-00002.
A model has been developed for a problem-based criterion-referenced test of clinical competence. The model, designed to increase the reliability and validity of traditional final year examinations for medical students, aims to provide a profile of student performance over a range of defined competence categories. The level of competence has been referenced to that expected of an intern. Both the content of the examination and the selection of test methods are based on patient problem blueprints which identify key areas that require testing. The content and test methods were incorporated, as appropriate, into either th;e written section or the practical section of the examination. The approach was found to be feasible and acceptable to staff and students.
已开发出一种用于基于问题的临床能力标准参照测试的模型。该模型旨在提高医学生传统毕业考试的可靠性和有效性，旨在提供学生在一系列定义的能力类别中的表现概况。能力水平已参照实习医生的预期水平。考试内容和测试方法的选择均基于患者问题蓝图，这些蓝图确定了需要测试的关键领域。内容和测试方法视情况纳入考试的笔试部分或实践部分。结果发现，该方法对教职员工和学生来说是可行且可接受的。
