Anderson A S, Botticelli M G
J Med Educ. 1981 Jul;56(7):587-92. doi: 10.1097/00001888-198107000-00007.
The faculty of the Department of Medicine at the University of Hawaii John A. Burns School of Medicine defines M.D.-level competence as the capability of undertaking the first day of a primary care internship. The implementation of a clinical clerkship in internal medicine that was flexible in time required that a new evaluation program be developed to assess the progress of students toward defined end points of competence. The four measures used are an objective test of basic medical knowledge, simulations to assess intellectual skills in problem-solving, a clinical skills examination with written standards to help the evaluator make discriminations between levels of performance, and a criterion-referenced rating scale to assess professional habits and attitudes. The progress of the classes of 1979 and 1980 toward achievement of predetermined levels of mastery is presented.
夏威夷大学约翰·A·伯恩斯医学院医学系将医学博士水平的能力定义为能够承担初级保健实习第一天的工作。内科临床实习在时间安排上具有灵活性，这就要求制定一个新的评估项目，以评估学生在达到既定能力终点方面的进展。所采用的四项评估措施包括：基础医学知识的客观测试、用于评估解决问题智力技能的模拟测试、带有书面标准以帮助评估者区分不同表现水平的临床技能考试，以及用于评估专业习惯和态度的标准参照评定量表。文中呈现了1979级和1980级班级在达到预定掌握水平方面的进展情况。
